Provider Demographics
NPI:1689332892
Name:BARWICK, LEWIS (APRN)
Entity type:Individual
Prefix:
First Name:LEWIS
Middle Name:
Last Name:BARWICK
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-6330
Mailing Address - Country:US
Mailing Address - Phone:850-672-4012
Mailing Address - Fax:
Practice Address - Street 1:408 ISLAND RD
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-6330
Practice Address - Country:US
Practice Address - Phone:850-672-4012
Practice Address - Fax:656-444-7249
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-05
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016890363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11016890OtherNURSE PRACTITIONER