Provider Demographics
NPI:1790201606
Name:SATYA LEE RN DELEGATION
Entity Type:Organization
Organization Name:SATYA LEE RN DELEGATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SATYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER OF NURSING
Authorized Official - Phone:678-526-4360
Mailing Address - Street 1:PO BOX 873044
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98687-3044
Mailing Address - Country:US
Mailing Address - Phone:678-526-4360
Mailing Address - Fax:
Practice Address - Street 1:1000 SE 160TH AVE APT NN323
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9610
Practice Address - Country:US
Practice Address - Phone:678-526-4360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60296658163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty