Individual provider · Type 1 NPI

Leselle Andrea Norville

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1154856573 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-2011 Map

Mailing address

4066 Albatross St Apt 12
San Diego, CA 92103-1901

Other practice locations

  • 1814 Westchester Dr Ste 100, High Point, NC 27262-7369 · (336) 802-2397

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X2022-01030 (NC)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154856573

Leselle Andrea Norville's National Provider Identifier is 1154856573, issued on Apr 24, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 21, 2026.