Individual provider · Type 1 NPI
Edwina Lee
Gerontology Registered Nurse · Detroit, MI
NPI number
1104553064
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse Primary | 163WG0600X | 4704363881 (MI) |
Gerontology Registered Nurse: Definition to come...
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About NPI 1104553064
Edwina Lee's National Provider Identifier is 1104553064, issued on Aug 2, 2022. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Detroit, MI. The record was last updated on Aug 2, 2022.