Individual
SUSAN V. LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 243-5500
(434) 924-8244
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0024174998
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024174998
VA
Other
Enumeration date
06/30/2017
Last updated
08/10/2023
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