| Ms Andrea Lewis, NNP | |
|
4928 Clover Pl, Alta Loma, CA 91737-2469 | |
| (909) 948-5670 | |
| Not Available |
| Full Name | Ms Andrea Lewis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 4928 Clover Pl, Alta Loma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780707075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 16001 (California) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Andrea Lewis, NNP 4928 Clover Pl, Alta Loma, CA 91737-2469 Ph: (909) 948-5670 | Ms Andrea Lewis, NNP 4928 Clover Pl, Alta Loma, CA 91737-2469 Ph: (909) 948-5670 |
Tiffany Monique Horn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5537 Malachite Ave, Alta Loma, CA 91737 Phone: 909-560-5116 | |
Buchi Stella Imoohi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6367 Puma Pl, Alta Loma, CA 91737 Phone: 909-231-9242 |