Provider Demographics
NPI:1780071084
Name:HANLEY, LEIGH (NP)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:HANLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:WEINERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:671-B HIOAKS ROAD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4072
Mailing Address - Country:US
Mailing Address - Phone:804-272-5814
Mailing Address - Fax:804-560-0232
Practice Address - Street 1:RICHMOND NEPHROLOGY ASSOCIATES, INC.
Practice Address - Street 2:13855 VILLAGE PLACE DRIVE
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114
Practice Address - Country:US
Practice Address - Phone:804-464-1028
Practice Address - Fax:804-464-2931
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172042363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner