Provider Demographics
NPI:1104345487
Name:LESLIE C BARKER NP LLC
Entity type:Organization
Organization Name:LESLIE C BARKER NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:434-973-7933
Mailing Address - Street 1:1150 NORTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2309
Mailing Address - Country:US
Mailing Address - Phone:434-973-7933
Mailing Address - Fax:434-973-6955
Practice Address - Street 1:1150 NORTHWEST DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2309
Practice Address - Country:US
Practice Address - Phone:434-973-7933
Practice Address - Fax:434-973-6955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty