Individual
MS. ELLEN S LEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9109 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 548-2343
Mailing address
8494 ROBERTS RD, ELLICOTT CITY, MD 21043-6011
(650) 380-5340
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R157119
MD
363LF0000X
Family Nurse Practitioner
Primary
R157119
MD
Other
Enumeration date
07/08/2010
Last updated
01/08/2018
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