MEDICARE: RACHEL R LEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN-1958	HI
2	363LF0000X	Family Nurse Practitioner	1958	HI

General Provider Information

NPI Number	:	1235455205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL R LEE

Provider Business Mailing Address
First Line	:	45-480 KANEOHE BAY DR
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-2039
Country	:	US
Telephone Number	:	808-491-7804
Fax Number	:

Provider Business Practice Location Address
First Line	:	45-480 KANEOHE BAY DR
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-2039
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2010
Last Update Date	:	03/06/2026

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Directions to “ RACHEL R LEE ” Practice Location

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