Provider Demographics
NPI:1407511454
Name:FEE, MAIA (RN)
Entity Type:Individual
Prefix:MS
First Name:MAIA
Middle Name:
Last Name:FEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4850 44TH ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-6923
Mailing Address - Country:US
Mailing Address - Phone:917-385-9312
Mailing Address - Fax:
Practice Address - Street 1:4850 44TH ST APT 3E
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-6923
Practice Address - Country:US
Practice Address - Phone:917-385-9312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY824119163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse