1902427685 NPI number — DR. LEE ELIZABETH MYERS DNP,MSN, FNP (BC)

Table of content: DR. LEE ELIZABETH MYERS DNP,MSN, FNP (BC) (NPI 1902427685)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902427685 NPI number — DR. LEE ELIZABETH MYERS DNP,MSN, FNP (BC)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MYERS
Provider First Name:
LEE
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DNP,MSN, FNP (BC)
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BELLIVEAU-MYERS
Provider Other First Name:
LEE
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1902427685
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
799 HOPE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PROVIDENCE
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02906-3635
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-316-4919
Provider Business Mailing Address Fax Number:
380-203-1341

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 ROSEWOOD ST # 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAWTUCKET
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02860-4427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-316-4919
Provider Business Practice Location Address Fax Number:
380-203-1341
Provider Enumeration Date:
05/04/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN02228 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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