Individual
MRS. LEENA MARIA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11030 GOLF LINKS DR STE 100, CHARLOTTE, NC 28277-8047
(704) 918-1934
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
(844) 624-2406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013193
NC
363LF0000X
Family Nurse Practitioner
336956
NY
363LF0000X
Family Nurse Practitioner
Primary
5013193
NC
363LP2300X
Primary Care Nurse Practitioner
5013193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03365253
—
NY
05
—
1497033724
—
NC
Enumeration date
08/03/2011
Last updated
04/20/2023
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