Provider Demographics
NPI:1013702869
Name:LEE, KRISTIN ANNE (FNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANNE
Last Name:LEE
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:ANNE
Other - Last Name:STIRLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:712 W 12TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1574
Mailing Address - Country:US
Mailing Address - Phone:909-557-7529
Mailing Address - Fax:
Practice Address - Street 1:712 W 12TH ST STE 2
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1574
Practice Address - Country:US
Practice Address - Phone:909-557-7529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK235399363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily