Provider Demographics
NPI:1417613431
Name:DRUMM, LEON ALLEN (CRNP)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:ALLEN
Last Name:DRUMM
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:985 PRINCE FREDERICK BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3492
Mailing Address - Country:US
Mailing Address - Phone:410-535-2005
Mailing Address - Fax:410-535-4850
Practice Address - Street 1:14090 HG TRUEMAN RD
Practice Address - Street 2:SUITE 2500
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-3151
Practice Address - Country:US
Practice Address - Phone:410-535-2005
Practice Address - Fax:410-535-4850
Is Sole Proprietor?:No
Enumeration Date:2021-11-14
Last Update Date:2022-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024183077363LF0000X
MDR192039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily