GWENDOLYN R. LEE (NPI# 1023318151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023318151 |
| Entity Type | Individual |
| Full Name | GWENDOLYN R. LEE |
| Credential | CCNS, APRN |
| Practice Address |
2361 Cypress Circle Conway SC 29526 |
| Practice Telephone | 8433477291 |
| Practice Fax Number | 8433470139 |
| Mailing Telephone | 8433477291 |
| Mailing Fax Number | 8433470139 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC0200X |
Clinical Nurse Specialist Specialization: Critical Care Medicine |
4293 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263271 | Gwendolyn Lee | In Home Supportive Care | 3560 Stoney Brook Dr, Fultondale, AL 35068-2254 | 2020-10-22 |
| 1861022857 | Gwendolyn Lee | Counselor | 411 Parkway Ste I, Greensboro, NC 27401-1644 | 2020-01-19 |
| 1255897997 | Gwendolyn Na Lee | Nurse's Aide | 2200 Belvoir Blvd, South Euclid, OH 44121-1204 | 2019-02-19 |
| 1952717464 | Gwendolyn Lee | Social Worker | 1364 Clifton Rd. Ne, Atlanta, GA 30322 | 2014-07-03 |
| 1043262801 | Gwendolyn Lee | Internal Medicine | 103 Valley Center Dr, Staunton, VA 24401-5080 | 2006-05-17 |
| 1003874595 | Gwendolyn Lee | Nurse Practitioner | 411 Oak St, Attn: Credentials, Cincinnati, OH 45219-2598 | 2006-05-03 |
| Street Address |
2361 CYPRESS CIRCLE |
| City | CONWAY |
| State | SC |
| Zip Code | 29526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720427768 | Michael Lew | Surgery | 2361 Cypress Circle, Conway, SC 29526-8921 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 364SC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649409434 | Lisa R Boye | Clinical Nurse Specialist | 109 Bee St, Charleston, SC 29401-5703 | 2009-07-14 |
Please comment or provide details below to improve the information on GWENDOLYN R. LEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.