Provider Demographics
NPI:1093183931
Name:LEE, BARBARA JANINE (FNP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JANINE
Last Name:LEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:14633 LOYOLA ST
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2558
Mailing Address - Country:US
Mailing Address - Phone:805-286-7016
Mailing Address - Fax:805-965-7573
Practice Address - Street 1:32144 AGOURA RD STE 206
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4051
Practice Address - Country:US
Practice Address - Phone:805-371-4820
Practice Address - Fax:805-371-4824
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95003083207QH0002X, 363LA2200X, 363LF0000X, 363LP2300X
CA2238364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty