Healthcare Provider Details

I. General information

NPI: 1386734036
Provider Name (Legal Business Name): JANET M LEAHY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

7327 40TH AVE SW
SEATTLE WA
98136-2105
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-3449
  • Fax: 206-764-2851
Mailing address:
  • Phone: 206-937-5407
  • Fax: 206-764-2851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN00071904
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: