# HEALTHEAST FAMILY CARE OF NAGS HEAD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386620060
- **Authorized official:** MRS. VONDA GETRUDE LEFFLER (PRACTICE MANAGER)
- **Authorized official phone:** (252) 441-3177

## Contact information

- **Practice address:** 4810 S CROATAN HIGHWAY, SUITE 100, NAGS HEAD, NC 27959
- **Practice address phone:** (252) 441-3177
- **Practice address fax:** (252) 441-2271
- **Mailing address:** 4810 S CROATAN HIGHWAY, SUITE 100, NAGS HEAD, NC 27959
- **Mailing address phone:** (252) 441-3177
- **Mailing address fax:** (252) 441-2271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NC | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0314E | BCBS OF NC | NC |
| 05 | — | 890314E | — | NC |