Provider Demographics
NPI:1619019718
Name:LEBER, TERESA W (RN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:W
Last Name:LEBER
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:8266 ATLEE RD
Practice Address - Street 2:SUITE 133
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1804
Practice Address - Country:US
Practice Address - Phone:804-730-2121
Practice Address - Fax:804-730-0563
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-01-31
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Provider Licenses
StateLicense IDTaxonomies
VA0001172731163W00000X, 163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No163W00000XNursing Service ProvidersRegistered Nurse