MEDICARE: LEIGH BARRY HARVARD RN, BSN

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
1	163W00000X	Registered Nurse	95107144	CA
2	163WC0200X	Critical Care Medicine Registered Nurse	RN9607100	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11043878	FL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	70059690	WA

General Provider Information

NPI Number	:	1447036280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH BARRY HARVARD RN, BSN

Provider Business Mailing Address
First Line	:	310 3RD AVE NE STE 124
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-3350
Country	:	US
Telephone Number	:	206-501-4342
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 3RD AVE NE STE 124
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-3350
Country	:	US
Telephone Number	:	206-501-4342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	12/03/2025

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