Individual
MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
360 PEAK ONE DRIVE, SUITE 100, FRISCO, CO 80443
(970) 668-4040
Mailing address
PO BOX 4337, 360 CR 1007, FRISCO, CO 80443-4337
(970) 668-4047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113720
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35222581
—
CO
Enumeration date
05/12/2008
Last updated
06/05/2013
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