Provider Demographics
NPI:1467980276
Name:DUNLEAVY, VANESSA LEWINGER (ARNP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:LEWINGER
Last Name:DUNLEAVY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:CHLOE
Other - Last Name:LEWINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3635 47TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3727
Mailing Address - Country:US
Mailing Address - Phone:026-326-7186
Mailing Address - Fax:206-568-7043
Practice Address - Street 1:1221 MADISON ST STE 1020
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-215-2658
Practice Address - Fax:206-991-2363
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60741542363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health