Provider Demographics
NPI:1275227969
Name:LEPLEY-STARR, MARLA PATRESE (DNP,PMHNP,MSN-ED,RN)
Entity Type:Individual
Prefix:DR
First Name:MARLA
Middle Name:PATRESE
Last Name:LEPLEY-STARR
Suffix:
Gender:F
Credentials:DNP,PMHNP,MSN-ED,RN
Other - Prefix:
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Mailing Address - Street 1:350 PEE DEE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-4945
Mailing Address - Country:US
Mailing Address - Phone:704-986-1500
Mailing Address - Fax:
Practice Address - Street 1:5700 EXECUTIVE CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8833
Practice Address - Country:US
Practice Address - Phone:704-525-3255
Practice Address - Fax:704-525-0940
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5018185363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health