Individual provider · Type 1 NPI

Gwendolyn Abe De Leon

Rehabilitation Registered Nurse · La Fayette, GA

NPI number 1083405773 Active

Practice location

205 Roadrunner Blvd
La Fayette, GA 30728-2161

Mailing address

7204 Fairbanks Rd
Hixson, TN 37343-2409

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Registered Nurse Primary 163WR0400X615507 (NY)

Rehabilitation Registered Nurse: Definition to come...

4 other providers at this address

About NPI 1083405773

Gwendolyn Abe De Leon's National Provider Identifier is 1083405773, issued on May 13, 2025. The primary taxonomy on file is Rehabilitation Registered Nurse (163WR0400X), and the practice location is in La Fayette, GA. The record was last updated on May 13, 2025.