Provider Demographics
NPI:1255192001
Name:PARKER, LEIGH (RN)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:PARKER
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 1:7814 196TH ST SW APT C6
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-6524
Mailing Address - Country:US
Mailing Address - Phone:206-853-7054
Mailing Address - Fax:
Practice Address - Street 1:7814 196TH ST SW APT C6
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-6524
Practice Address - Country:US
Practice Address - Phone:206-853-7054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60689385163WA0400X, 163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)