Provider Demographics
NPI:1639680788
Name:LEWIS, ERIN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:LEWIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 CAMBRIDGE ST STE 501
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2759
Mailing Address - Country:US
Mailing Address - Phone:617-726-4900
Mailing Address - Fax:617-228-6306
Practice Address - Street 1:165 CAMBRIDGE ST STE 501
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2759
Practice Address - Country:US
Practice Address - Phone:617-726-4900
Practice Address - Fax:617-228-6306
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2286744363LA2200X, 363L00000X
FLARNP9470758363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health