National Provider Identifier

Deanna Janice Leavitt-Judware, LPN

Deanna Janice Leavitt-Judware, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Wilson, NY and a listed phone number of (716) 201-8414.

NPI 1992594683Wilson, NYLicensed Practical Nurse

Profile Overview

NPI
1992594683
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 01, 2025
Last Updated
May 01, 2025

Practice Location

  • 3893 W Lake RD
  • Wilson, NY 14172-9726

Phone: (716) 201-8414

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1992594683
Entity Type
Individual
Last Name
Leavitt-Judware
First Name
Deanna
Middle Name
Janice
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
3893 W Lake RD
Mailing City
Wilson
Mailing State
NY
Mailing ZIP Code
14172-9726
Mailing Country
US
Mailing Phone
(716) 201-8414
Practice Street Address
3893 W Lake RD
Practice City
Wilson
Practice State
NY
Practice ZIP Code
14172-9726
Practice Country
US
Practice Phone
(716) 201-8414
Enumeration Date
May 01, 2025
Last Updated
May 01, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
May 01, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)