Provider Demographics
NPI:1629658281
Name:LEWIS, BARBARA A
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:LEWIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 COLUMBIA STREET
Mailing Address - Street 2:
Mailing Address - City:CHEST SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:16624
Mailing Address - Country:US
Mailing Address - Phone:814-674-5036
Mailing Address - Fax:
Practice Address - Street 1:429 MANOR DRIVE
Practice Address - Street 2:SUITE 10
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931
Practice Address - Country:US
Practice Address - Phone:814-472-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN330006L163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management