Provider Demographics
NPI:1518119312
Name:LEE, BARBARA (CRNP, AP-MH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:CRNP, AP-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 BURKE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-4418
Mailing Address - Country:US
Mailing Address - Phone:410-207-1387
Mailing Address - Fax:410-807-3340
Practice Address - Street 1:1447 YORK RD STE 506
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6022
Practice Address - Country:US
Practice Address - Phone:410-825-2281
Practice Address - Fax:410-822-2280
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2008007315363LP0808X
MDR118370163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR118370OtherNURSING LICENSE