Provider Demographics
NPI:1841363702
Name:ARTUSIO, LYNDA LEIGH (CRNP-PMH)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:LEIGH
Last Name:ARTUSIO
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9093 RIDGEFIELD DR STE 104
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6711
Mailing Address - Country:US
Mailing Address - Phone:301-682-4100
Mailing Address - Fax:301-682-9100
Practice Address - Street 1:9093 RIDGEFIELD DR STE 104
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6711
Practice Address - Country:US
Practice Address - Phone:240-913-5950
Practice Address - Fax:240-425-4250
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR091414363LP0808X, 363LP0808X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2133403OtherMAMSI
MD558AOtherCF BCBS MD
DCK841 0001OtherCF BCBS DC
MD2133403OtherMAMSI
Q12820Medicare UPIN