Provider Demographics
NPI:1437715257
Name:LEITH, RYANN MARIE (CRNP, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:RYANN
Middle Name:MARIE
Last Name:LEITH
Suffix:
Gender:F
Credentials:CRNP, FNP-BC
Other - Prefix:
Other - First Name:RYANN
Other - Middle Name:MARIE
Other - Last Name:MUSSER / BLUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5100 BUCKEYSTOWN PIKE STE 186
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8337
Mailing Address - Country:US
Mailing Address - Phone:301-682-8888
Mailing Address - Fax:
Practice Address - Street 1:5100 BUCKEYSTOWN PIKE STE 186
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8337
Practice Address - Country:US
Practice Address - Phone:301-682-8888
Practice Address - Fax:301-682-3515
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR206143363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily