Vanessa Lee
Individual provider Active NPI Attendant Care Provider · Pinon, AZ
NPI 1104543479 · NPPES record last updated Oct 26, 2022
Key facts
- NPI
- 1104543479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- N8031 Sentra Rd.
Pinon, AZ 86510-0634 - Phone
- (928) 326-0955
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
N8031 Sentra Rd.
Pinon, AZ 86510-0634
Mailing address
PO Box 634
Pinon, AZ 86510-0634
Phone (928) 326-0955
Other providers in Pinon, AZ
- Laverne James
- Daniel R Johnson
- Karen Frieda Kilman
- Megan S Klingler
- Jeffrey Lawrence
- Lisa Michelle Leombruni
- Sean Charles Meade
- Jessica Christine Cortez Morales
- Steven Ngo
- Isaac Okechukwu Okoye
All providers in Pinon, AZ · Attendant Care Provider in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.