NPI 1063324648 · live from the CMS NPI Registry
Stephanie Marie Lee
Registered Nurse, General Practice in Derby, KS. National Provider Identifier 1063324648, active.
NPI record
| NPI | 1063324648 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 1113 N Raintree Dr, Derby, KS 67037 |
| Practice phone | 316-670-0620 |
| Enumerated | September 19, 2026 |
| Last updated | September 19, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Registered Nurse, General Practice primary | 163WG0000X | 13-111896-121 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.