Provider Demographics
NPI:1982670410
Name:LEWIS, MARGARET R (PNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5758
Mailing Address - Country:US
Mailing Address - Phone:207-623-2977
Mailing Address - Fax:207-626-9374
Practice Address - Street 1:263 WATER ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-4609
Practice Address - Country:US
Practice Address - Phone:207-623-2977
Practice Address - Fax:207-626-9374
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP081667363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME278380099Medicaid
MEP11637Medicare UPIN
MENP257101Medicare PIN
ME278380099Medicaid
MENP2571Medicare ID - Type Unspecified