Provider Demographics
NPI:1497413223
Name:LEWIS, TAMARA LEE (MSN, RN, FNE)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:LEE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:MSN, RN, FNE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W 4TH STREET
Mailing Address - Street 2:STE 1A
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3372
Mailing Address - Country:US
Mailing Address - Phone:302-356-0506
Mailing Address - Fax:302-486-3400
Practice Address - Street 1:2500 W 4TH STREET
Practice Address - Street 2:STE 1A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3367
Practice Address - Country:US
Practice Address - Phone:302-356-0506
Practice Address - Fax:302-486-3400
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0033762163WE0003X
DELG-0012358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency