Individual
LESLIE MARIE SHUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-1210
Mailing address
5016 CANNON BLUFF DR, WOODBRIDGE, VA 22192-5737
(330) 417-4854
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024193096
VA
Other
Enumeration date
02/05/2025
Last updated
06/05/2025
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