Most Relevant Information
Provider Data
| NPI Number: | 1003655309 |
| Provider Name: | ANDREW PAUL LEISRING PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024189087 |
Most Important Dates
| Enumeration Date: | 05/24/2024 |
| Last Updated: | 05/24/2024 |
Provider Practice Location
5500 MAGNOLIA RUN CIR APT 107
VIRGINIA BEACH
VA
234641677
Practice Location Phone/Fax
| Phone: | 5133736017 |
| Fax: |
Provider Mailing Location
PO BOX 2315
CHESAPEAKE
VA
233272315
Provider Mailing Phone/Fax
| Phone: | 5133736017 |
| Fax: |