Individual
ANDREA ISELA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 NW 208TH ST, MIAMI GARDENS, FL 33169-2244
(786) 368-9718
Mailing address
1406 NW 208TH ST, MIAMI GARDENS, FL 33169-2244
(786) 368-9718
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
11043771
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
11043771
FL
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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