Basic Information
Provider Information
NPI: 1932714599
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAPCEVICH
FirstName: LEANNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX 20611
Address2:  
City: JUNEAU
State: AK
PostalCode: 998020611
CountryCode: US
TelephoneNumber: 9073212422
FaxNumber:  
Practice Location
Address1: 3260 HOSPITAL DRIVE
Address2:  
City: JUNEAU
State: AK
PostalCode: 99801
CountryCode: US
TelephoneNumber: 9077968900
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/10/2020
LastUpdateDate: 09/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WX0003XNURR33925AKN Nursing Service ProvidersRegistered NurseObstetric, Inpatient
163WP0200XNURR33925AKN Nursing Service ProvidersRegistered NursePediatrics

No ID Information.


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