Provider Demographics
NPI:1659348167
Name:LEWIS, KRISTI DARLENE (ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:DARLENE
Last Name:LEWIS
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15243 AMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2155
Mailing Address - Country:US
Mailing Address - Phone:813-493-3376
Mailing Address - Fax:888-731-3365
Practice Address - Street 1:15243 AMBERLY DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2155
Practice Address - Country:US
Practice Address - Phone:813-493-3376
Practice Address - Fax:888-731-3365
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9165814363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
QW33933Medicare UPIN
U3189ZMedicare ID - Type Unspecified