Provider Demographics
NPI:1972988079
Name:LEE, NAYOUNG (FNP)
Entity type:Individual
Prefix:
First Name:NAYOUNG
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:179 NORTH BROAD STREET
Mailing Address - Street 2:UHS CHENANGO MEMORIAL HOSPITAL
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1019
Mailing Address - Country:US
Mailing Address - Phone:607-337-4218
Mailing Address - Fax:607-337-4064
Practice Address - Street 1:179 N BROAD ST
Practice Address - Street 2:UHS CHENANGO MEMORIAL HOSPITAL
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1019
Practice Address - Country:US
Practice Address - Phone:607-337-4218
Practice Address - Fax:607-337-4064
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY339917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily