Individual provider · Type 1 NPI

Leah Thyberg Rundlett, DNP, FNP

Nurse Practitioner · Crownsville, MD

NPI number 1407639743 Active

Practice location

1212 Severnview Dr
Crownsville, MD 21032-1105

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR245651 (MD)
Nurse Practitioner Primary 363L00000XR245651 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1407639743

Leah Thyberg Rundlett, DNP, FNP's National Provider Identifier is 1407639743, issued on Aug 18, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crownsville, MD. The record was last updated on Jan 11, 2025.