Individual
LEAH PL SHOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC, IBCLC
Contact information
Practice address
8630 FENTON ST STE 1200, SILVER SPRING, MD 20910-3808
(015) 851-2503
(301) 585-6289
Mailing address
5523 13TH ST NW, WASHINGTON, DC 20011-3501
(310) 779-7466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1030144
DC
163WL0100X
Lactation Consultant (Registered Nurse)
L-88331
DC
363LP0200X
Pediatric Nurse Practitioner
NP1030144
DC
363LP0200X
Pediatric Nurse Practitioner
Primary
R244915
MD
Other
Enumeration date
02/08/2016
Last updated
10/02/2024
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