Individual
TASHA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
2376 CYPRESS CIR, SUITE 300, CONWAY, SC 29526-8964
(843) 347-7222
(843) 347-3305
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102869
SC
363LF0000X
Family Nurse Practitioner
Primary
18824
SC
Other
Enumeration date
03/24/2014
Last updated
07/20/2022
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