Provider Demographics
NPI:1467763326
Name:LEE, PAMELA YVETTE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:YVETTE
Last Name:LEE
Suffix:
Gender:F
Credentials:ARNP
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Mailing Address - Street 1:2744 GULF BREEZE PKWY
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-3091
Mailing Address - Country:US
Mailing Address - Phone:850-934-5713
Mailing Address - Fax:850-934-0379
Practice Address - Street 1:2744 GULF BREEZE PKWY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-3091
Practice Address - Country:US
Practice Address - Phone:509-345-7138
Practice Address - Fax:850-934-0379
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9253480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily