Individual
AMY R LEIBLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
266 SKIDMORE LN, SUTTON, WV 26601-9271
(304) 765-4400
(304) 765-0354
Mailing address
266 SKIDMORE LN, SUTTON, WV 26601-9271
(304) 765-4400
(719) 765-0354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
120130
WV
363LF0000X
Family Nurse Practitioner
APN.0993394-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
120130
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ACPM.0993394-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120130
NP LICENSE WITH UNRESTRICTED AUTHORITY
WV
01
—
APN.0993394-NP
APN-NP
CO
Enumeration date
09/26/2017
Last updated
02/02/2025
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