NPI 1265118566 · live from the CMS NPI Registry
Ivy Lee, RN
Registered Nurse, Nurse Massage Therapist (NMT) in Windsor Mill, MD. National Provider Identifier 1265118566, active.
NPI record
| NPI | 1265118566 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Nurse Massage Therapist (NMT) 163WM1400X |
| Practice location | 7001 Johnnycake Rd Ste 101, Windsor Mill, MD 21244 |
| Practice phone | 443-522-0064 |
| Enumerated | June 22, 2023 |
| Last updated | June 30, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Nurse Massage Therapist (NMT) primary | 163WM1400X | R169873 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.