Active NPIIndividual provider

Mrs. Theresa C Lee, FNP-C

Nurse Practitioner, Family in Englewood, New Jersey

NPI Number1619518453
Practice location
420 Grand Ave Ste 101, Englewood, NJ 07631-4141
Fax
—
Last updated
October 2, 2019

Theresa Carol Lee is a Nurse Practitioner, Family based in Englewood, NJ. Theresa Carol Lee practices in Englewood, NJ and has the professional credentials of FNP-C. The NPI Number for Theresa Carol Lee is 1619518453 and holds a License No. 26NJ00967900 (NJ). The current practice location address for Theresa Carol Lee is 420 Grand Ave Ste 101, Englewood, NJ 07631-4141 and can be reached out via phone at 201-569-7044.

Provider Profile Details

NPI Number
1619518453
Provider Name
Theresa Carol Lee
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
420 Grand Ave Ste 101, Englewood, NJ 07631-4141
Phone Number
201-569-7044
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2019
Last Update Date
October 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
420 Grand Ave Ste 101
Englewood, NJ 07631-4141
Zip
07631-4141
Phone Number
201-569-7044
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
333 Willow St Apt 404
Teaneck, NJ 07666-4068
City
Teaneck
State
NJ
Zip
07666-4068
Phone Number
847-877-6172

License Information

License Number
26NJ00967900
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Theresa C Lee, FNP-C?

The NPI number of Mrs. Theresa C Lee, FNP-C is 1619518453. It was assigned on October 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Theresa C Lee, FNP-C?

Mrs. Theresa C Lee, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00967900.

Where does Mrs. Theresa C Lee, FNP-C practice?

The practice location is 420 Grand Ave Ste 101, Englewood, NJ 07631-4141. The office can be reached at 201-569-7044 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619518453 directly on the NPPES registry website.

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