Provider Demographics
NPI:1578848941
Name:LEE, CATHY J (NP)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:J
Last Name:LEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:J
Other - Last Name:MORGENSTERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:400 MATTHEW STREET
Mailing Address - Street 2:SUITE 305
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1600
Mailing Address - Country:US
Mailing Address - Phone:740-373-0880
Mailing Address - Fax:740-376-5575
Practice Address - Street 1:400 MATTHEW ST
Practice Address - Street 2:SUITE 305
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1644
Practice Address - Country:US
Practice Address - Phone:740-373-0880
Practice Address - Fax:740-376-5575
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP04920363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHNP04920OtherNURSE PRACTITIONER