Individual provider · Type 1 NPI
Tara Lewis, FNP-C
Family Nurse Practitioner · Wixom, MI
NPI number
1841065760
Active
Practice location
4706 Product Dr
Wixom, MI 48393-2071
Mailing address
3845 Audrey Rae Ln
Howell, MI 48843-6607
Other practice locations
- 7111 Dixie Hwy # 142, Clarkston, MI 48346-2077 · (248) 567-2334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704295516 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704295516 (MI) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Wixom
About NPI 1841065760
Tara Lewis, FNP-C's National Provider Identifier is 1841065760, issued on Nov 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wixom, MI. The record was last updated on Sep 15, 2026.