IndividualActive
Mary De Leon
NPI 1467249995 · Critical Care Medicine Nurse Practitioner · Glendale, CA
Provider details
- NPI number
- 1467249995
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95020893 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1619 S Adams St
Glendale, CA 91205-3608
Phone: (323) 458-3055
Approximate (ZIP-level) locationGet directions
Mailing address
1619 S Adams St
Glendale, CA 91205-3608
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.