| Leslianne Grendysz, LNP | |
|
12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3618 | |
| (703) 780-2800 | |
| (703) 780-0461 |
| Full Name | Leslianne Grendysz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12825 Minnieville Rd, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346470598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024168382 (Virginia) | Primary |
| Entity Name | Mount Vernon Internal Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679522338 PECOS PAC ID: 4587643010 Enrollment ID: O20061212000622 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Entity Name | Carient Heart & Vascular, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669982526 PECOS PAC ID: 4082972468 Enrollment ID: O20171229002036 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslianne Grendysz, LNP 12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3618 Ph: (703) 780-2800 | Leslianne Grendysz, LNP 12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3618 Ph: (703) 780-2800 |
Mrs. Adetutu Marioghae, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12783 Sidney Way, Lake Ridge, VA 22192 Phone: 571-332-9032 | |
Ivonne Cruz, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 | |
Elizabeth Mbene Wainaina, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2544 Paxton St, Lake Ridge, VA 22192 Phone: 703-350-9154 | |
Harriet Vaughn Greenfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12656a Lake Ridge Dr Ste A, Lake Ridge, VA 22192 Phone: 571-427-2095 Fax: 320-238-7553 | |
Sara Woodby-brown, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2199 Old Bridge Rd, Lake Ridge, VA 22192 Phone: 703-357-9707 |