Individual
MISS LEIGH ANN WILTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
251 N 4TH ST, OAKLAND, MD 21550-1375
(301) 533-4000
(301) 895-8752
Mailing address
15113 TRAIL RIDGE RD SW # 11513, CUMBERLAND, MD 21502-5846
(301) 876-1348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R157431
MD
Other
Enumeration date
04/25/2018
Last updated
05/19/2021
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