Provider Demographics
NPI:1831824978
Name:LEE, TARYN WYNEE (FNP)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:WYNEE
Last Name:LEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-151 PALI MOMI ST STE 142
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4333
Mailing Address - Country:US
Mailing Address - Phone:808-483-6400
Mailing Address - Fax:
Practice Address - Street 1:98-151 PALI MOMI ST STE 142
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4333
Practice Address - Country:US
Practice Address - Phone:808-483-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-22
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3764363LF0000X
HIRN-73901163WG0000X
HIF07221425363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice