Individual
ANDREW LEAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
325905
NC
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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