Provider Demographics
NPI:1972511970
Name:LEE, NENG (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:NENG
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MS
Other - First Name:NENG
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:5187 N 1ST ST STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7805
Mailing Address - Country:US
Mailing Address - Phone:559-226-6796
Mailing Address - Fax:559-682-3061
Practice Address - Street 1:5187 N 1ST ST STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7805
Practice Address - Country:US
Practice Address - Phone:559-226-6796
Practice Address - Fax:559-682-3061
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily