Provider Demographics
NPI:1255562518
Name:LEONARD, NATALIE VIRGINIA (FNP, NP-C)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:VIRGINIA
Last Name:LEONARD
Suffix:
Gender:F
Credentials:FNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 MCDOWELL AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-1225
Mailing Address - Country:US
Mailing Address - Phone:540-344-1723
Mailing Address - Fax:540-266-9203
Practice Address - Street 1:611 MCDOWELL AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-1225
Practice Address - Country:US
Practice Address - Phone:540-344-1723
Practice Address - Fax:540-266-9203
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001098865163WP0809X
VA0024173004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult