Provider Demographics
NPI:1497321301
Name:LEARY, MEREDITH (DNP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:LEARY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11768
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-0168
Mailing Address - Country:US
Mailing Address - Phone:804-955-8406
Mailing Address - Fax:804-213-9783
Practice Address - Street 1:7229 FOREST AVE.
Practice Address - Street 2:STE. 111, HIGHLAND II BUILDING
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3765
Practice Address - Country:US
Practice Address - Phone:804-687-4793
Practice Address - Fax:855-618-2623
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024181375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily