Provider Demographics
NPI:1841243326
Name:LEAVITT, JANE E (ARNP)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:E
Last Name:LEAVITT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 NINTH AVE. S.
Mailing Address - Street 2:UW MEDICINE SLEEP DISORDERS CENTER, BOX 359803
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-744-4999
Mailing Address - Fax:
Practice Address - Street 1:325 NINTH AVE. S. UW MEDICINE SLEEP DISORDERS CENTER,
Practice Address - Street 2:HARBORVIEW MEDICAL CENTER, WEST HOSPITAL 3RD FLOOR
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-744-4999
Practice Address - Fax:607-762-2626
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60041058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
S83876Medicare UPIN
NYBB5641Medicare ID - Type Unspecified