Provider Demographics
NPI:1518665041
Name:ALVARADO-LEAVITT, ANA (RN)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:ALVARADO-LEAVITT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18914 OLYMPIA ST
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3022
Mailing Address - Country:US
Mailing Address - Phone:818-515-2644
Mailing Address - Fax:
Practice Address - Street 1:18914 OLYMPIA ST
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-3022
Practice Address - Country:US
Practice Address - Phone:818-515-2644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0991-0399163WD0400X
CA414855163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management