Provider Demographics
NPI:1255708509
Name:LEWIS, MICHAELA NATOSHA (DNP, CPNP-AC/PC)
Entity type:Individual
Prefix:DR
First Name:MICHAELA
Middle Name:NATOSHA
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DNP, CPNP-AC/PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DUMC BOX 102352 10 DUKE MEDICINE CIRCLE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-7106
Practice Address - Country:US
Practice Address - Phone:919-668-2513
Practice Address - Fax:919-385-7523
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1677363LP0200X
SC19702363LP0200X
NC5010469363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics