MEDICARE: AMBER DNIECE LEE N.P.

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	163WG0000X	General Practice Registered Nurse	683341	CA
2	363LF0000X	Family Nurse Practitioner	17977	CA
3	363L00000X	Nurse Practitioner	APN001360	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GG220Z	OTHER	NV	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	APRN001360	OTHER	NV	STATE LICENSE

General Provider Information

NPI Number	:	1386813046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER DNIECE LEE N.P.

Provider Business Mailing Address
First Line	:	6355 S BUFFALO DR FL 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2133
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	9280 W SUNSET RD STE 426
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4862
Country	:	US
Telephone Number	:	702-688-8110
Fax Number	:	702-891-5080

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

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	09/05/2023

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Directions to “ AMBER DNIECE LEE N.P.” Practice Location

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