Provider Demographics
NPI:1992497531
Name:LEE, TERESA MASON (APRN- FNP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:MASON
Last Name:LEE
Suffix:
Gender:F
Credentials:APRN- FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 GALLEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-4301
Mailing Address - Country:US
Mailing Address - Phone:410-200-8922
Mailing Address - Fax:
Practice Address - Street 1:3604 GALLEY RD STE 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-4301
Practice Address - Country:US
Practice Address - Phone:719-638-4548
Practice Address - Fax:719-638-4571
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0102755363LF0000X
SC27946363LF0000X
SC250368163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse