IndividualActive
Gwendolyn De Leon
NPI 1083405773 · Rehabilitation Registered Nurse · La Fayette, GA
Provider details
- NPI number
- 1083405773
- Entity type
- Individual
- Primary specialty
- Rehabilitation Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 615507 (NY)
Mailing address
7204 Fairbanks Rd
Hixson, TN 37343-2409
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.