Dr. Leslie Ann Dervan
Pediatric Critical Care Doctor
4800 Sand Point Way Ne Mb.10.620
Seattle
, Washington 98105-3901
Dr. Leslie Ann Dervan
Pediatric Critical Care Doctor
4800 Sand Point Way Ne Mb.10.620
Seattle
, Washington 98105-3901
(206) 987-0293
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Leslie Ann Dervan
- 4800 Sand Point Way Ne Mb.10.620
- Seattle, WA
- Zip : 98105-3901
- Phone : (206) 987-0293
Second Address
- Dr. Leslie Ann Dervan
- 4800 Sand Point Way Ne Mb.10.620
- Seattle, WA
- Zip : 98105-3901
- Phone : (206) 987-0293
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 60205855 | WA |
National Provider Identifier
| NPI | 1003077025 |
|---|---|
| Provider Name | Dr. Leslie Ann Dervan |
| First Address | Seattle, WA 98105-3901 |
| Second Address | Seattle, WA 98105-3901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2008 |
| Last Update Date | 24/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.