Basic Information
Provider Information
NPI: 1649520883
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEE
FirstName: AARON
MiddleName: LEE
NamePrefix: MR.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2257 TAYLOR RD
Address2: SUITE 200
City: MONTGOMERY
State: AL
PostalCode: 361177790
CountryCode: US
TelephoneNumber: 3342709914
FaxNumber: 3342703195
Practice Location
Address1: 881 3RD ST NE
Address2:  
City: ALABASTER
State: AL
PostalCode: 350078954
CountryCode: US
TelephoneNumber: 2056208500
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/14/2012
LastUpdateDate: 09/14/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X1-095419ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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