Provider Demographics
NPI:1477032878
Name:LEAVEN, JOY (CD(DONA))
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:LEAVEN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 ROXBURY DR NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-4416
Mailing Address - Country:US
Mailing Address - Phone:319-435-1058
Mailing Address - Fax:
Practice Address - Street 1:29 ROXBURY DR NW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52405-4416
Practice Address - Country:US
Practice Address - Phone:319-435-1058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula