Healthcare Provider Details

I. General information

NPI: 1326909524
Provider Name (Legal Business Name): LESLIE NEIL DUNCAN WOODIE MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 ROANOKE BLVD
SALEM VA
24153-6404
US

IV. Provider business mailing address

1970 ROANOKE BLVD
SALEM VA
24153-6404
US

V. Phone/Fax

Practice location:
  • Phone: 540-982-2463
  • Fax: 540-224-1945
Mailing address:
  • Phone: 540-982-2463
  • Fax: 540-224-1945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number1244884
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: