Provider Demographics
NPI:1992872519
Name:LEE, PAULA RANA (APRN-BC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:RANA
Last Name:LEE
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2536 HIGHWAY 49 E
Mailing Address - Street 2:NORTHCREST PHYSICAN SERVICES
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146-7159
Mailing Address - Country:US
Mailing Address - Phone:615-746-1556
Mailing Address - Fax:615-746-1614
Practice Address - Street 1:2536 HIGHWAY 49 E
Practice Address - Street 2:SUITE 110
Practice Address - City:PLEASANT VIEW
Practice Address - State:TN
Practice Address - Zip Code:37146-7159
Practice Address - Country:US
Practice Address - Phone:615-746-1557
Practice Address - Fax:615-746-1615
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P91776Medicare UPIN