Organization
LIBERTAS LEADERSHIP LLC
Active
Other names
Libertas Integrative Health
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RUSSELL FNP (OWNER)
(540) 613-1825
Entity
Organization
Contact information
Practice address
1043 OAKLAWN DR STE A, CULPEPER, VA 22701-3339
(540) 613-1825
(540) 870-6133
Mailing address
1043 OAKLAWN DR STE A, CULPEPER, VA 22701-3339
(540) 613-1825
(540) 870-6133
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497732549
—
VA
Enumeration date
04/15/2020
Last updated
06/08/2023
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