1841243326 NPI number — MS. JANE E LEAVITT ARNP

Table of content: MS. JANE E LEAVITT ARNP (NPI 1841243326)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841243326 NPI number — MS. JANE E LEAVITT ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEAVITT
Provider First Name:
JANE
Provider Middle Name:
E
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841243326
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
325 NINTH AVE. S.
Provider Second Line Business Mailing Address:
UW MEDICINE SLEEP DISORDERS CENTER, BOX 359803
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-744-4999
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 NINTH AVE. S. UW MEDICINE SLEEP DISORDERS CENTER,
Provider Second Line Business Practice Location Address:
HARBORVIEW MEDICAL CENTER, WEST HOSPITAL 3RD FLOOR
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-744-4999
Provider Business Practice Location Address Fax Number:
607-762-2626
Provider Enumeration Date:
05/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP60041058 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)