Leah Fetzer
Leah Fetzer is a Nurse Practitioner in Salisbury, Maryland. Qualified in 2024, 2 years ago. Practices with Tidalhealth Primary Care LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 2
- Licensed in
- MD
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
100 E Carroll StSalisbury, MD 21801-5422
Phone: (410) 912-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R249469 (MD) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence R249469 (MD) |
Record details
| NPI number | 1780432112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 9, 2024 |
| Last updated in NPPES | July 28, 2024 |
| Certification date | July 28, 2024 |
| Mailing address | 9968 Lenary Dr, Delmar, MD 21875-2486 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Tidalhealth Primary Care Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |