Provider Demographics
NPI:1932714599
Name:DAPCEVICH, LEANNA (RN)
Entity type:Individual
Prefix:
First Name:LEANNA
Middle Name:
Last Name:DAPCEVICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 20611
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99802-0611
Mailing Address - Country:US
Mailing Address - Phone:907-321-2422
Mailing Address - Fax:
Practice Address - Street 1:3260 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801
Practice Address - Country:US
Practice Address - Phone:907-796-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURR33925163WX0003X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No163WP0200XNursing Service ProvidersRegistered NursePediatrics