Individual provider · Type 1 NPI
Ivy Lee, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Winter Park, FL
NPI number
1679199905
Active
Practice location
7420 Dwell Well Way Apt 1302
Winter Park, FL 32792-8930
Mailing address
8530 NW 47th St
Coral Springs, FL 33067-3407
Other practice locations
- 2431 Aloma Ave Ste 233, Winter Park, FL 32792-2541 · (954) 654-1741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9488738 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679199905
Ivy Lee, PMHNP's National Provider Identifier is 1679199905, issued on Jun 23, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Winter Park, FL. The record was last updated on Apr 9, 2024.