Provider Demographics
NPI:1578754297
Name:LEBER, MARIA KRISTEN (RPAC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:KRISTEN
Last Name:LEBER
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:KRISTEN
Other - Last Name:BRIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPAC
Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:SUITE 3B28
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-6665
Mailing Address - Fax:202-877-3164
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:SUITE 3B28
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-6665
Practice Address - Fax:202-877-3164
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPA030384363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant