Renee Nicole Leary, is a
Nurse Practitioner - Psychiatric/mental Health based in Glen Arm, Maryland. Renee Nicole Leary is licensed to practice in Maryland (license number R199634) and her current practice location is
13115 Dulaney Valley Rd, Glen Arm, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 414-5815.
NPI number for Renee Nicole Leary is 1114730538 and her current mailing address is 13115 Dulaney Valley Rd, Glen Arm, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114730538.
Provider's Profile
| Full Name | Renee Nicole Leary |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 13115 Dulaney Valley Rd, Glen Arm, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114730538
- Provider Enumeration Date: 01/29/2025
- Last Update Date: 05/12/2026
Medical Identifiers
Medical identifiers for Renee Nicole Leary such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114730538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R199634 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renee Nicole Leary is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Renee Nicole Leary, 13115 Dulaney Valley Rd, Glen Arm, MD 21057-9601 Ph: (443) 414-5815 | Renee Nicole Leary, 13115 Dulaney Valley Rd, Glen Arm, MD 21057-9601 Ph: (443) 414-5815 |
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