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1164865663
IVY LEWIS
PHOENIX, AZ
NPI
1164865663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP4956)
Enumeration Date
2013-04-15
Last Update Date
2016-06-29
Business Address
-- IVY LEWIS FNP
3003 N CENTRAL AVE SUITE 800
PHOENIX, AZ 85012-2902
Phone number: 855-821-5128
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Mailing Address
-- IVY LEWIS FNP
748 E CANTEBRIA DR
GILBERT, AZ 85296-3542
Phone number: 480-650-4390
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