Individual
MRS. NICOLE C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG CT ADULT THORACIC, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 362-7260
(866) 272-2816
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7260
(866) 272-2816
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
154756
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420029012
—
MO
Enumeration date
12/21/2007
Last updated
05/28/2025
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