NPI 1437548369

Ryan Lewis

Practitioner Nurse's Aide Benton, AR

Practice location

Address: 6701 Hwy 67, Benton, AR 72015
Phone: (501) 860-0500
Mailing address: 3025 Earle Dr., Benton, AR 72019

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 050324671010E (AR)

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Registry record

NPI: 1437548369
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2015
Record last updated: 15 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.