| Miss Tanisha Lewis, | |
|
10543 S Crater Rd, South Prince George, VA 23805-7333 | |
| (800) 805-6989 | |
| Not Available |
| Full Name | Miss Tanisha Lewis |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 10543 S Crater Rd, South Prince George, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235991209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0002103538 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tanisha Lewis, 111 Merchant Man Ct, Williamsburg, VA 23185-5369 Ph: (309) 922-0911 | Miss Tanisha Lewis, 10543 S Crater Rd, South Prince George, VA 23805-7333 Ph: (800) 805-6989 |
Shakema Tucker, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 800-805-6989 | |
Ashley Chambliss, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Valerie Deloris Graves, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Nak-sha Foster, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Mrs. Tonyia Katric Pender, CEO Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10555 S Crater Rd, South Prince George, VA 23805 Phone: 804-919-2897 | |
Otelia Bryant, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 800-805-6989 |