Individual
DR. BERNADETTE ESPIRITU LEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6345 CENTER DR, NORFOLK, VA 23502-4105
(757) 461-4027
(757) 461-8821
Mailing address
2140 VISTA CIR, UNIT 503, VIRGINIA BEACH, VA 23451-1069
(757) 481-2489
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13931
OPTIMA HEALTH CARE
—
05
—
1669430963
—
VA
01
—
320856
ANTHEM BLUE CROSS
—
Enumeration date
05/03/2006
Last updated
12/10/2012
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