Provider Demographics
NPI:1437840774
Name:LEWIS, ADRIANN ASHLEY (APRN-CNM)
Entity Type:Individual
Prefix:
First Name:ADRIANN
Middle Name:ASHLEY
Last Name:LEWIS
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 16TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-3134
Mailing Address - Country:US
Mailing Address - Phone:406-606-3510
Mailing Address - Fax:406-578-3135
Practice Address - Street 1:1406 16TH AVE SW
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-3134
Practice Address - Country:US
Practice Address - Phone:406-606-3510
Practice Address - Fax:406-578-3135
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-234052176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife