Healthcare Provider Details

I. General information

NPI: 1174607931
Provider Name (Legal Business Name): SANDRA LEE NOMEE ASCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 9TH SANPOIL STREET COLVILLE CONFEDERATED TRIBES INDIAN HEALTH SERVICES
NESPELEM WA
99155
US

IV. Provider business mailing address

PO BOX 71
NESPELEM WA
99155-0071
US

V. Phone/Fax

Practice location:
  • Phone: 509-634-2900
  • Fax: 509-634-2945
Mailing address:
  • Phone: 509-634-2900
  • Fax: 509-634-2945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: