NICHOLE LEE NP NPI 1609419639

NPI Information

NPI: 1609419639
Provider Name: NICHOLE LEE, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
5750 W THUNDERBIRD RD STE C300
GLENDALE, AZ
ZIP 85306
Phone: (623) 238-7490
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Nichole Lee, NP is an acute care nurse practitioner in Glendale, AZ with 5 years of experience. Nichole Lee, NP NPI is 1609419639. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5750 W THUNDERBIRD RD STE C300
GLENDALE, AZ
ZIP 85306-666
Phone: (623) 238-7490

The NPI 1609419639 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 10/22/2019 and was last updated on 11/24/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WX0200X	Registered Nurse	Oncology	RN161542	ARIZONA	No
2	363L00000X	Nurse Practitioner		235410	ARIZONA	No
3	363LA2100X	Nurse Practitioner	Acute Care	235410	ARIZONA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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