Provider Demographics
NPI:1689966814
Name:GOLDSTEIN, LEIGH ANN (PHD, APRN-BC, CNE)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANN
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:PHD, APRN-BC, CNE
Other - Prefix:DR
Other - First Name:LEIGH
Other - Middle Name:A
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:7001 JOHNNYCAKE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2420
Mailing Address - Country:US
Mailing Address - Phone:410-202-0004
Mailing Address - Fax:410-202-0005
Practice Address - Street 1:7001 JOHNNYCAKE RD STE 204
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2420
Practice Address - Country:US
Practice Address - Phone:410-202-0004
Practice Address - Fax:410-202-0005
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19995184363LA2200X
MDR269261363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health