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MRS. NICOLE C LEE ANP NPI 1508040817


NPI Information

NPI: 1508040817
Provider Name: MRS. NICOLE C LEE, ANP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
4921 PARKVIEW PL
DIV SURG CT ADULT THORACIC, STE 8B
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 362-7260
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MRS. Nicole C Lee, ANP is an acute care nurse practitioner in Saint Louis, MO with 19 years of experience. MRS. Nicole C Lee, ANP NPI is 1508040817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4921 PARKVIEW PL
DIV SURG CT ADULT THORACIC, STE 8B
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 362-7260
Fax: (314) 362-6288

The NPI 1508040817 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 11/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care154756MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1420029012MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.