Provider Demographics
NPI:1043205529
Name:WEIHS, LEIGH THURMAND (RN FNP)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:THURMAND
Last Name:WEIHS
Suffix:
Gender:F
Credentials:RN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 UNIVERSITY PL
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2831
Mailing Address - Country:US
Mailing Address - Phone:410-467-1342
Mailing Address - Fax:
Practice Address - Street 1:1718 JARRETTSVILLE RD
Practice Address - Street 2:
Practice Address - City:JARRETTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21084-1524
Practice Address - Country:US
Practice Address - Phone:410-692-5292
Practice Address - Fax:410-557-4256
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156732363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD466771900Medicaid
MD466771900Medicaid