Michelle Karen Lee, CPNP | |
301 Industrial Rd, San Carlos, CA 94070-2603 | |
(650) 596-4000 | |
Not Available |
Full Name | Michelle Karen Lee |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 301 Industrial Rd, San Carlos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275055972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 95006429 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Michelle Karen Lee, CPNP 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 596-4000 | Michelle Karen Lee, CPNP 301 Industrial Rd, San Carlos, CA 94070-2603 Ph: (650) 596-4000 |
Mrs. Diana Tatarkhanova, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240 | |
Amy Kathleen Mccarthy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4000 | |
Miss Christine Natan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240 | |
Grace Watson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4240 | |
Christina F Van Divner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-596-4130 | |
Mrs. Sarina Mai Lee Safina, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Shoreway Rd Ste A, San Carlos, CA 94070 Phone: 650-556-9420 Fax: 661-678-2779 |