Provider Demographics
NPI:1558438705
Name:WRIGHT, LESLIE RICHARDS (RN CPNP)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:RICHARDS
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RN CPNP
Other - Prefix:DR
Other - First Name:LEILA
Other - Middle Name:T
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4927 AUBURN AVE
Mailing Address - Street 2:SUITE100
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2641
Mailing Address - Country:US
Mailing Address - Phone:301-832-6048
Mailing Address - Fax:703-935-1094
Practice Address - Street 1:4927 AUBURN AVE
Practice Address - Street 2:SUITE100
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2641
Practice Address - Country:US
Practice Address - Phone:301-832-6048
Practice Address - Fax:703-935-1094
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR058676363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner