Provider Demographics
NPI:1871662635
Name:LEWIS, MICHELLE D (RN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:D
Last Name:LEWIS
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Gender:
Credentials:RN, CPNP
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Mailing Address - Street 1:3750 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3117
Mailing Address - Country:US
Mailing Address - Phone:210-922-7000
Mailing Address - Fax:210-924-1374
Practice Address - Street 1:17323 IH 35 N STE 113&114
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1277
Practice Address - Country:US
Practice Address - Phone:210-922-7000
Practice Address - Fax:210-924-1374
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX657566363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics