Healthcare Provider Details

I. General information

NPI: 1841261898
Provider Name (Legal Business Name): PSYCHE MAY FERNANDEZ DE LEON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 482
FPO AP
96362
JP

IV. Provider business mailing address

PSC 557 BOX 834
FPO AP
96379
JP

V. Phone/Fax

Practice location:
  • Phone: 6342747
  • Fax: 6342708
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number450574
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: