Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lee Rose Wilde

Individual provider Obstetrics & Gynecology Physician · NPI 1700101060

Lee Rose Wilde is an Obstetrics/Gynecology in Flagstaff, Arizona. Qualified in 2010, 16 years ago. Practices with North Country Healthcare Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Licensed in
AZ
In the registry since
2010

Practice location Address checks out

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone: (928) 522-9400
Fax: (928) 522-9736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 00821 (AZ)

Record details

NPI number1700101060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2010
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing addressPo Box 1231, Tucson, AZ 85702-1231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice North Country Healthcare Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Flagstaff