Provider Demographics
NPI:1275201741
Name:WOOLRIDGE, LEAH H (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:H
Last Name:WOOLRIDGE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2287
Mailing Address - Street 2:
Mailing Address - City:KITTY HAWK
Mailing Address - State:NC
Mailing Address - Zip Code:27949-2287
Mailing Address - Country:US
Mailing Address - Phone:252-261-4187
Mailing Address - Fax:
Practice Address - Street 1:5200 N CROATAN HWY STE 6
Practice Address - Street 2:
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949-3990
Practice Address - Country:US
Practice Address - Phone:252-261-4187
Practice Address - Fax:833-989-2346
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCWOOL-X0MMS363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily