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Individual

CHANTELL LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1672 S WOODSAGE AVE STE 120, MERIDIAN, ID 83642-8332
(208) 248-4683
Mailing address
2462 SUCCOR CREEK RD, HOMEDALE, ID 83628-3568
(208) 695-8909
(208) 695-8909

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8471698
ID

Other

Enumeration date
02/09/2026
Last updated
02/09/2026
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