Individual provider · Type 1 NPI
Renee Nicole Leary
Psychiatric/Mental Health Nurse Practitioner · Glen Arm, MD
NPI number
1114730538
Active
Practice location
13115 Dulaney Valley Rd
Glen Arm, MD 21057-9601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R199634 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1114730538
Renee Nicole Leary's National Provider Identifier is 1114730538, issued on Jan 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Arm, MD. The record was last updated on May 12, 2026.