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Individual

MRS. LEAH MEISTER CHILDRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1144 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3330
(757) 259-0443
(757) 259-0450
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170730
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023350097
VA
01
VVA354B
MEDICARE PTAN
VA
Enumeration date
03/18/2013
Last updated
11/01/2023
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