Lee, Emily

Lee, Emily is an individual health care provider with primary practice located at 4167 Merchant Plz , Woodbridge VA 22192. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee, Emily can be contacted via phone (703) 878-8800.

Contact Information

Primary practice address
4167 Merchant Plz Woodbridge VA 22192
Fax: (703) 878-2133
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024168786 Virginia

Profile Details

NPI number 1154476612
LBN Legal business name Lee, Emily
Credentials CRNP-F
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Sep 28th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154476612 NPPES
Maryland MEDICAID 400703400
Maryland Other C0410037
Maryland Other 88225501

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