Provider Demographics
NPI:1942057310
Name:LEWIS, NNEOMA ANYANWU (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:NNEOMA
Middle Name:ANYANWU
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 VISTA DEL NORTE APT 1132
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-8071
Mailing Address - Country:US
Mailing Address - Phone:202-705-3479
Mailing Address - Fax:
Practice Address - Street 1:13000 VISTA DEL NORTE APT 1132
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-8071
Practice Address - Country:US
Practice Address - Phone:202-705-3479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1159069363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner