Leavitt, Wende Christine

Leavitt, Wende Christine is an individual health care provider with primary practice located at 2001 S Woodruff Ave Ste 9 , Idaho Falls ID 83404-6371. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Leavitt, Wende Christine can be contacted via phone (208) 419-3002.

Contact Information

Primary practice address
2001 S Woodruff Ave Ste 9 Idaho Falls ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X PA-1938 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1938 Idaho

Profile Details

NPI number 1952917353
LBN Legal business name Leavitt, Wende Christine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2020
Last updated Feb 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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