Doctor Name: | MS. PATRICIA THOMPSON LEAVITT |
NPI Number: | 1467469841 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., F.N.P. |
License Number: | R027530 |
Business Practice Address: | 1013 Narragansett Trl Buxton, ME - 040936607 |
Business Phone Number: | 2079296455 |
Business Fax Number: | 2079296459 |
Mailing Address: | 210 Turkey Ln, BUXTON |
State: | ME |
Postal Code: | 040933519 |
Phone Number: | 2077274602 |
Fax Number: | 2077275006 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | R027530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |