MRS. GWEN LEE


Address: 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273
Phone: 3138326300

MRS. GWEN LEE (NPI# 1588905830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588905830
Entity Type Individual
Full Name MRS. GWEN LEE
Credential RN
Practice Address 611 Martin Luther King Jr Blvd
Detroit
MI 48201-2273
Practice Telephone 3138326300
Practice Fax Number 3138322075
Mailing Telephone 3138326300
Mailing Fax Number 3138322075
Enumeration Date 2013-03-12
Last Update Date 2013-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
4704196136 MI Nursing Service Providers

Office Location

Street Address 611 MARTIN LUTHER KING JR BLVD
City DETROIT
State MI
Zip Code 48201-2273

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275576886 Ronaldo B Supena Clinic/Center 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2006-06-13
1750732830 Detroit Community Health Connection Community/Behavioral Health 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2016-06-29
1295073773 Lavetta Annette Pickens Nurse Practitioner 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2013-01-18
1215200399 Detroit Community Health Connection, Inc. Clinic/Center 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2012-02-20
1841445640 Norris Carnell Polk Pediatrics 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2008-11-20
1851547038 Marie Shoulders-williams Nurse Practitioner 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2008-08-07
1790948982 Detroit Community Health Connection, Inc Clinic/Center 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2008-07-08
1427084128 Mayra Troya-nutt Obstetrics & Gynecology 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 2006-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265033831 Shelly Cromerkennedy Registered Nurse 14583 Archdale St, Detroit, MI 48227-1441 2020-11-02
1235674870 Debora Ruckes Curtis Registered Nurse 18932 Pennington Dr, Detroit, MI 48221-2168 2017-01-05
1689725020 Parthenia Henry Registered Nurse 3681 Preston St, Detroit, MI 48207-2447 2007-01-14
1730296070 Donna Nealous Brown Registered Nurse 603 E Philadelphia St, Detroit, MI 48202-2224 2006-08-24
1588285084 Jerome E Colon Registered Nurse 4646 John R St, Detroit, MI 48201-1916 2020-05-06
1760011472 Audrey Elizabeth Hua Registered Nurse 5557 Cass Ave, Detroit, MI 48202-3615 2020-04-04
1184265639 Andrea Michelle Marshall-diver Registered Nurse 2925 Russell St, Detroit, MI 48207 2019-10-07
1104486877 Lauren Alexis Kalliantasis Registered Nurse 22101 Moross Rd, Detroit, MI 48236-2148 2019-06-16
1336640903 Tanika Arnold Registered Nurse 19940 Conant St, Detroit, MI 48234-1494 2018-02-28
1659665370 Elizabeth Abraham Koyithot Registered Nurse 1 Ford Pl, Henry Ford Hospital, Detroit, MI 48202-3450 2011-05-31
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

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.

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