Individual provider · Type 1 NPI
Young Tae Lee, PNHNP
Psychiatric/Mental Health Nurse Practitioner · Agoura Hills, CA
NPI number
1225780562
Active
Practice location
30423 Canwood St Ste 123
Agoura Hills, CA 91301-4314
Fax (818) 385-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95019749 (CA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95158737 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1225780562
Young Tae Lee, PNHNP's National Provider Identifier is 1225780562, issued on Jan 18, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Agoura Hills, CA. The record was last updated on Feb 22, 2024.