Provider Demographics
NPI:1336843390
Name:LEE, JUNE ANTHONY (APRN)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:ANTHONY
Last Name:LEE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 S GOLD LEAF PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5445
Mailing Address - Country:US
Mailing Address - Phone:480-205-0753
Mailing Address - Fax:
Practice Address - Street 1:2201 W FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4711
Practice Address - Country:US
Practice Address - Phone:480-834-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ289596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily