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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGNES CHAN LEWIS, ANP

Active

Nurse Practitioner · BRIDGETON, MO

Registration Details

NPI Number
1821360454
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2012 (14.237393694859 yrs)
Last Updated
Nov 5, 2020
License
2011034516 (MO)

Practice Information

Address
12266 DE PAUL DR STE 205
BRIDGETON, MO, 630442514
Browse MO providers · Browse ZIP 63044
Phone
3142182300
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in BRIDGETON, MO

Name Credential NPI
DEBRA E SOLOM A.N.P. 1003848516
REBECCA DEATHERAGE BUWALDA APRNBC 1366477226
MR. MATTHEW W. BRUNS CNP 1447266333
JAINA VALLARTA RN, MSN, APRN-BC 1497851448
LAVADA JEAN SMITH ANP 1164691945
MARY F HANS WHNP-BC 1457604878
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.