Provider Demographics
NPI:1750685814
Name:COX, LEE ANNE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:LEE
Middle Name:ANNE
Last Name:COX
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7977 BAYSHORE CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-8367
Mailing Address - Country:US
Mailing Address - Phone:812-449-6521
Mailing Address - Fax:812-479-7666
Practice Address - Street 1:908 S HEBRON AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-4079
Practice Address - Country:US
Practice Address - Phone:812-479-8736
Practice Address - Fax:812-479-7666
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28123935A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse