Healthcare Provider Details

I. General information

NPI: 1861061624
Provider Name (Legal Business Name): TAMSYN LEBER CHEEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 06/24/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 BREMO RD
RICHMOND VA
23226-1907
US

IV. Provider business mailing address

5801 BREMO RD FL 3
RICHMOND VA
23226-1907
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-8082
  • Fax:
Mailing address:
  • Phone: 804-282-8082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number0001174297
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: