Waller, Leah

Waller, Leah is an individual health care provider with primary practice located at 1985 Jefferson Davis Hwy , Fredericksburg VA 22401-6233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Waller, Leah can be contacted via phone (540) 373-6647.

Contact Information

Primary practice address
1985 Jefferson Davis Hwy Fredericksburg VA 22401-6233
Phone: (540) 373-6647
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1740673250
LBN Legal business name Waller, Leah
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2015
Last updated Jan 23rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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