Individual
MIRRIAM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4039
(215) 203-3000
Mailing address
2600 N AMERICAN ST, PHILADELPHIA, PA 19133-3413
(215) 739-2669
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030975
PA
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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