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NPI Code Detail

MEDICARE: YVONNE LEAVITT REGISTERED NURSE

MEDICARE: YVONNE LEAVITT REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2163W00000XRegistered Nurse756296CA

General Provider Information

NPI Number : 1124516877
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE LEAVITT REGISTERED NURSE
Provider Business Mailing Address
First Line : 1404 FRANKLIN ST STE 200
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3208
Country : US
Telephone Number : 831-331-3464
Fax Number :
Provider Business Practice Location Address
First Line : 1404 FRANKLIN ST STE 200
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3208
Country : US
Telephone Number : 831-331-3464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2018
Last Update Date : 05/22/2025

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Directions to “ YVONNE LEAVITT REGISTERED NURSE” Practice Location

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