Lee, Mary

Lee, Mary is an individual health care provider with primary practice located at 610 16Th St Ste 310 , Oakland CA 94612-1284. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lee, Mary can be contacted via phone (510) 817-4107.

Contact Information

Primary practice address
610 16Th St Ste 310 Oakland CA 94612-1284
Phone: (510) 817-4107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95062988 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95010783 California

Profile Details

NPI number 1316315286
LBN Legal business name Lee, Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Oct 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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