Individual provider · Type 1 NPI
Diana Grace Reyes De Leon
Primary Care Nurse Practitioner · Sylmar, CA
NPI number
1043976970
Active
Practice location
12376 Twilight Ave
Sylmar, CA 91342-5161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95018486 (CA) |
| Registered Nurse | 163W00000X | 95062138 (CA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1043976970
Diana Grace Reyes De Leon's National Provider Identifier is 1043976970, issued on Nov 15, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sylmar, CA. The record was last updated on Nov 15, 2021.