Individual
LEANNE MICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
19490 SANDRIDGE WAY STE 350, LANSDOWNE, VA 20176-3467
(703) 858-5599
(703) 858-5699
Mailing address
19490 SANDRIDGE WAY STE 350, LANSDOWNE, VA 20176-3467
(703) 858-5599
(703) 858-5699
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
0024194631
VA
367A00000X
Advanced Practice Midwife
Primary
25ME00033601
NJ
Other
Enumeration date
05/22/2007
Last updated
04/21/2026
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