Provider Demographics
NPI:1306567946
Name:LEE, APRILE NOELLE (CNP)
Entity type:Individual
Prefix:MS
First Name:APRILE
Middle Name:NOELLE
Last Name:LEE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 E MAIN
Mailing Address - Street 2:
Mailing Address - City:TUCUMCARI
Mailing Address - State:NM
Mailing Address - Zip Code:88401-2508
Mailing Address - Country:US
Mailing Address - Phone:575-461-2200
Mailing Address - Fax:575-461-2213
Practice Address - Street 1:1302 E MAIN
Practice Address - Street 2:
Practice Address - City:TUCUMCARI
Practice Address - State:NM
Practice Address - Zip Code:88401
Practice Address - Country:US
Practice Address - Phone:575-461-2200
Practice Address - Fax:575-461-2213
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX945528163WE0003X
NM69806363LF0000X
TX1096931363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WE0003XNursing Service ProvidersRegistered NurseEmergency