Provider Demographics
NPI:1073037172
Name:TORBERT, LESLIE A (NP)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:A
Last Name:TORBERT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8239 MEADOWBRIDGE RD STE A
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2318
Mailing Address - Country:US
Mailing Address - Phone:804-730-0800
Mailing Address - Fax:
Practice Address - Street 1:8239 MEADOWBRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2318
Practice Address - Country:US
Practice Address - Phone:804-730-0800
Practice Address - Fax:804-730-0800
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175164207V00000X
VA980196133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered