| Doctor Name: | MRS. CYNTHIA ANN LEAVER |
| NPI Number: | 1053754754 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, RN, FNP-BC |
| License Number: | 0024168593 |
| Business Practice Address: | 8008 Westpark Dr Mc Lean, VA - 221023109 |
| Business Phone Number: | 7032876442 |
| Business Fax Number: | |
| Mailing Address: | 3916 Rive Dr, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223093031 |
| Phone Number: | 7039693661 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2013 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024168593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |