Individual
LEAH THYBERG RUNDLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
1212 SEVERNVIEW DR, CROWNSVILLE, MD 21032-1105
(443) 280-4637
Mailing address
1212 SEVERNVIEW DR, CROWNSVILLE, MD 21032-1105
(443) 280-4637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R245651
MD
363L00000X
Nurse Practitioner
Primary
R245651
MD
Other
Enumeration date
08/18/2023
Last updated
01/11/2025
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