Individual provider · Type 1 NPI

Heejun Lee

Pediatric Nurse Practitioner · Santa Rosa, CA

NPI number 1669107900 Active

Practice location

711 Stony Point Rd Ste 17
Santa Rosa, CA 95407-6848

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95251430 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X95022405 (CA)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1669107900

Heejun Lee's National Provider Identifier is 1669107900, issued on Jul 20, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 31, 2022.