Doctor Name: | LEANA AUNGST |
NPI Number: | 1003246695 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 0024171980 |
Business Practice Address: | 1000 Old Denbigh Blvd Suite 1020a Newport News, VA - 236022017 |
Business Phone Number: | 7578752050 |
Business Fax Number: | 7578752070 |
Mailing Address: | 856 J Clyde Morris Blvd, Suite A NEWPORT NEWS |
State: | VA |
Postal Code: | 236011318 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/18/2013 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 0024171980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |