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NPI Code Detail

MEDICARE: ANNE MICHELLE R. DE LEON NP-C

MEDICARE:   ANNE MICHELLE R. DE LEON  NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse688046CA
2363LF0000XFamily Nurse Practitioner21553CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121553OTHERCANURSE PRACTITIONER FURNISHING NUMBER
2F0114589OTHERCABOARD CERTIFICATION NUMBER

General Provider Information

NPI Number : 1952695694
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE MICHELLE R. DE LEON NP-C
Provider Business Mailing Address
First Line : 1026 2ND ST
Second Line : APT 35
City : LAFAYETTE
State : CA
Zip : 94549-3970
Country : US
Telephone Number : 510-677-0321
Fax Number :
Provider Business Practice Location Address
First Line : 1026 2ND ST
Second Line : APT 35
City : LAFAYETTE
State : CA
Zip : 94549-3970
Country : US
Telephone Number : 510-577-0321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2011
Last Update Date : 03/07/2023

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Directions to “ ANNE MICHELLE R. DE LEON NP-C” Practice Location

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