Provider Demographics
NPI:1982404984
Name:MAXWELL, LEIGH ELIZABETH (PA)
Entity type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:ELIZABETH
Last Name:MAXWELL
Suffix:
Gender:
Credentials:PA
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Mailing Address - Street 1:17 CAMPBELL AVE SW APT 519
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1343
Mailing Address - Country:US
Mailing Address - Phone:336-430-6298
Mailing Address - Fax:
Practice Address - Street 1:17 CAMPBELL AVE SW APT 519
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24011-1343
Practice Address - Country:US
Practice Address - Phone:336-430-6298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant