Individual
AMY RENEE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11361 N 99TH AVE STE 400&402, PEORIA, AZ 85345-5470
(602) 650-1212
Mailing address
20438 N 38TH DR, GLENDALE, AZ 85308-2263
(480) 800-9945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN177386
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
228406
AZ
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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