Amanda Leyh, | |
43130 Amberwood Plz Ste 130, South Riding, VA 20152-4107 | |
(443) 745-0452 | |
Not Available |
Full Name | Amanda Leyh |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 43130 Amberwood Plz Ste 130, South Riding, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366158453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 0024185871 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Amanda Leyh, 8926 Englewood Farms Dr, Manassas, VA 20112-5884 Ph: (443) 745-0452 | Amanda Leyh, 43130 Amberwood Plz Ste 130, South Riding, VA 20152-4107 Ph: (443) 745-0452 |
Patricia Lynne Carnes, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24795 Pinebrook Rd, South Riding, VA 20152 Phone: 703-542-7691 | |
Mrs. Catherine Lander, RN, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43130 Amberwood Plz, Suite 140, South Riding, VA 20152 Phone: 703-348-0030 | |
Karol Rose Duffy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26035 Murrey Dr, South Riding, VA 20152 Phone: 703-327-5211 | |
Mrs. Anna Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43130 Amberwood Plz Ste 140, South Riding, VA 20152 Phone: 703-348-0030 | |
Mrs. Stacey Nicole Lambour, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43130 Amberwood Plz, 140, South Riding, VA 20152 Phone: 703-348-0030 |