Fanny Lee, CRNA
Nurse Anesthetist, Certified Registered in Rochester, NY. Individual provider (NPI-1).
NPI number1699178145
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1699178145
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Fanny Lee
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2014
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 643385 | NY | Yes |
| 163W00000X | Registered Nurse | 643385 | NY |
Practice location
601 Elmwood AveRochester, NY 14642-0001
Phone 585-275-2143
Mailing address
601 Elmwood AveBox 604
Rochester, NY 14642-0001
Phone 585-275-2143
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