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Individual

MS. JOAN M LEAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
2772 RUTLAND RD, DAVIDSONVILLE, MD 21035-1228
(410) 798-1600
Mailing address
10 HIGHLAND AVE, ANNAPOLIS, MD 21403-2927
(410) 353-8050

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20121239
MD

Other

Enumeration date
06/21/2012
Last updated
01/08/2013
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