Doctor Name: | PAULA RANA LEE |
NPI Number: | 1992872519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | APN7795 |
Business Practice Address: | 2536 Highway 49 E Suite 110 Pleasant View, TN - 371467159 |
Business Phone Number: | 6157461557 |
Business Fax Number: | 6157461615 |
Mailing Address: | 2536 Highway 49 E, Northcrest Physican Services PLEASANT VIEW |
State: | TN |
Postal Code: | 371467159 |
Phone Number: | 6157461556 |
Fax Number: | 6157461614 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 01/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN7795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |