MEDICARE: AMANDA JOCELYNNE MARGARET LESNIEWSKI RN

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	RN70029170	WA

General Provider Information

NPI Number	:	1558210526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA JOCELYNNE MARGARET LESNIEWSKI RN

Provider Business Mailing Address
First Line	:	1004 E MERCER ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-5031
Country	:	US
Telephone Number	:	702-300-7888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1004 E MERCER ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-5031
Country	:	US
Telephone Number	:	702-300-7888
Fax Number	:

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

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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