Provider Demographics
NPI:1215389366
Name:LEWITT, WILLIAM MITCHELL (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:MITCHELL
Last Name:LEWITT
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25 FORRENCE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NH
Mailing Address - Zip Code:03049
Mailing Address - Country:US
Mailing Address - Phone:617-304-0648
Mailing Address - Fax:
Practice Address - Street 1:166 KINSLEY ST STE 101
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3676
Practice Address - Country:US
Practice Address - Phone:603-889-4131
Practice Address - Fax:603-889-6419
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH073326-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily