Healthcare Provider Details

I. General information

NPI: 1790601482
Provider Name (Legal Business Name): MARIA LEAL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 JEFFERSON ST
SEATTLE WA
98104-2433
US

IV. Provider business mailing address

908 JEFFERSON ST
SEATTLE WA
98104-2433
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-1400
  • Fax: 206-744-6985
Mailing address:
  • Phone: 206-744-1400
  • Fax: 206-744-6985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN60134321
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: