Individual provider · Type 1 NPI

Lee William Elgin Iii, MSN, CRNP, AGACNP-BC

Family Nurse Practitioner · St. Augustine, FL

NPI number 1740796770 Active

Practice location

100 Arricola Ave
St. Augustine, FL 32080-4515

Mailing address

2460 Old Moultrie Rd Ste 1
St. Augustine, FL 32086-4198

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X1-108603 (AL)
Family Nurse Practitioner Primary 363LF0000XAPRN11002556 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1740796770

Lee William Elgin Iii, MSN, CRNP, AGACNP-BC's National Provider Identifier is 1740796770, issued on Dec 28, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 20, 2023.