Individual
MS. ELEANOR RAYSHAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ARNP
Contact information
Practice address
13891 SE 64TH ST, BELLEVUE, WA 98006-4809
(206) 954-0075
(425) 643-9195
Mailing address
13891 SE 64TH ST, BELLEVUE, WA 98006-4809
(206) 954-0075
(425) 643-9195
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
AP30007012
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9647868
—
WA
01
—
AP30007012
ARNP
WA
01
—
RN00113301
RN
WA
Enumeration date
06/20/2006
Last updated
07/25/2024
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