Provider Demographics
NPI:1235403155
Name:LEWIS, VELMA L (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:VELMA
Middle Name:L
Last Name:LEWIS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:JANEL
Other - Middle Name:R
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAJOR
Mailing Address - Street 1:5508 E 16TH ST
Mailing Address - Street 2:SUITE C13
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-4936
Mailing Address - Country:US
Mailing Address - Phone:317-602-3690
Mailing Address - Fax:317-802-7610
Practice Address - Street 1:5508 E 16TH ST
Practice Address - Street 2:SUITE C13
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-4936
Practice Address - Country:US
Practice Address - Phone:317-602-3690
Practice Address - Fax:317-802-7610
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28096938A163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health