Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY BASHAM-LEEDY, PA-C
Active Sole ProprietorMISTY BASHAM-LEEDY, PA-C is a Physician Assistant healthcare provider located in ROANOKE, Virginia. NPI 1467724591 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROANOKE, VA
Registration Details
- NPI Number
- 1467724591
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2012 (14.498247639951 yrs)
- Last Updated
- Sep 29, 2021
- License
-
0110003761 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1906 BELLEVIEW AVE SECARILION RMH - DEPARTMENT OF EMERGENCY MEDICINEROANOKE, VA, 240141838Browse VA providers · Browse ZIP 24014
- Phone
- 5402666331
- Fax
- 5409819550
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROANOKE, VA
| Name | Credential | NPI |
|---|---|---|
| CLYDE W WOODYARD | PA-C | 1720083785 |
| PAMELA LAPRADE | PA-C | 1326047564 |
| JOSEPH RANDOLPH HOWELL | PA-C | 1649271461 |
| LAUREN E GOATER-MATHIS | PA-C | 1235130519 |
| AMY J OSTERMANN | PA-C | 1912980491 |
| MR. JOSEPH BUCKNER EDDINS III | PA | 1285611269 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.