Provider Demographics
NPI:1740675321
Name:LEE, BIYYIAH (BSN)
Entity type:Individual
Prefix:
First Name:BIYYIAH
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 WOODLAND HILLS DR
Mailing Address - Street 2:APT 31
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2138
Mailing Address - Country:US
Mailing Address - Phone:773-844-8724
Mailing Address - Fax:
Practice Address - Street 1:3104 WOODLAND HILLS DR
Practice Address - Street 2:APT 31
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2138
Practice Address - Country:US
Practice Address - Phone:773-844-8724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704311637163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse