Provider Demographics
NPI:1609906874
Name:CAREY-LEE, MARTHA A (MS, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:A
Last Name:CAREY-LEE
Suffix:
Gender:F
Credentials:MS, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-1601
Mailing Address - Country:US
Mailing Address - Phone:602-206-3035
Mailing Address - Fax:602-957-8695
Practice Address - Street 1:6315 N 20TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-1601
Practice Address - Country:US
Practice Address - Phone:602-206-3035
Practice Address - Fax:602-957-8695
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN054301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily