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Agnes Lewis, ANP — NPI 1821360454, Bridgeton, MO | NPI Central

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Agnes Lewis, ANP

NPI 1821360454 · Nurse Practitioner · Bridgeton, MO

Provider details

NPI number: 1821360454
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: ANP
Sex: Female
Sole proprietor: No
License: 2011034516 (MO)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 2011034516 (MO)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

12266 De Paul Dr Ste 205

Bridgeton, MO 63044-2514

Phone: (314) 218-2300

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 955534

Saint Louis, MO 63195-5534

Additional practice locations (1)

100 Medical Plz
Lake St Louis, MO 63367-1366
Phone: (636) 625-5200
Fax: (314) 317-0606

Registry dates

Enumerated: 2012-01-27
Last updated: 2020-11-05
Certified: 2020-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.