Provider Demographics
NPI:1992691240
Name:WEISHAUPT, JANIS LEYVA (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:LEYVA
Last Name:WEISHAUPT
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:JANIS
Other - Middle Name:
Other - Last Name:LEYVA CASERES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN BSN
Mailing Address - Street 1:266 N WILLOWLAWN PKWY
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-2431
Mailing Address - Country:US
Mailing Address - Phone:716-348-8171
Mailing Address - Fax:
Practice Address - Street 1:3495 BAILEY AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1129
Practice Address - Country:US
Practice Address - Phone:716-834-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-14
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY805079163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse