Provider Demographics
NPI:1457174427
Name:LEAVITT, KARA NICHOLE (NNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:NICHOLE
Last Name:LEAVITT
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:NICHOLE
Other - Last Name:OVIATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2868 W WILLOW SPROUT RD
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5166
Mailing Address - Country:US
Mailing Address - Phone:801-874-6842
Mailing Address - Fax:
Practice Address - Street 1:1034 N 500 W
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3337
Practice Address - Country:US
Practice Address - Phone:801-357-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program