Healthcare Provider Details

I. General information

NPI: 1407771520
Provider Name (Legal Business Name): ANNABELLE LEE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5544 PROMENADE PKWY
CASTLE ROCK CO
80108-1903
US

IV. Provider business mailing address

5544 PROMENADE PKWY
CASTLE ROCK CO
80108-1903
US

V. Phone/Fax

Practice location:
  • Phone: 303-562-9157
  • Fax:
Mailing address:
  • Phone: 303-562-9157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002305-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: