Individual provider · Type 1 NPI
Timothy Lee
Nurse Practitioner · Dayton, OH
Practice location
1 Wyoming St
Dayton, OH 45409-2722
Mailing address
3170 Kettering Blvd # B2
Moraine, OH 45439-1924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0042853 (OH) |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0042853 (OH) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1790694149
Timothy Lee's National Provider Identifier is 1790694149, issued on Sep 2, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dayton, OH. The record was last updated on Oct 19, 2026.