Individual
LEIGH ANN TUBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
280 SUNSET PARK DR STE 12, HERNDON, VA 20170-5219
(704) 779-6230
Mailing address
5307 GREYFRIAR CT, WAXHAW, NC 28173-6710
(704) 779-6230
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN2452
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
0024183285
VA
363LA2200X
Adult Health Nurse Practitioner
5002184
NC
Other
Enumeration date
08/01/2006
Last updated
01/19/2022
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