Leslianne Grendysz, LNP | |
12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3618 | |
(703) 780-2800 | |
(703) 780-0461 |
Full Name | Leslianne Grendysz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12825 Minnieville Rd, Lake Ridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346470598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024168382 (Virginia) | Primary |
Entity Name | Mount Vernon Internal Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679522338 PECOS PAC ID: 4587643010 Enrollment ID: O20061212000622 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
Entity Name | Carient Heart & Vascular, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669982526 PECOS PAC ID: 4082972468 Enrollment ID: O20171229002036 |
Mailing Address | Practice Location Address |
---|---|
Leslianne Grendysz, LNP 12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3618 Ph: (703) 780-2800 | Leslianne Grendysz, LNP 12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3618 Ph: (703) 780-2800 |
Mrs. Adetutu Marioghae, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12783 Sidney Way, Lake Ridge, VA 22192 Phone: 571-332-9032 | |
Ivonne Cruz, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 | |
Harriet Vaughn Greenfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12656a Lake Ridge Dr Ste A, Lake Ridge, VA 22192 Phone: 571-427-2095 Fax: 320-238-7553 | |
Sara Woodby-brown, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 |