Individual provider · Type 1 NPI

Mary De Leon

Critical Care Medicine Nurse Practitioner · Glendale, CA

NPI number 1467249995 Active

Practice location

1619 S Adams St
Glendale, CA 91205-3608

Call (323) 458-3055 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95020893 (CA)
Adult Health Nurse Practitioner 363LA2200X95020893 (CA)
Critical Care Medicine Nurse Practitioner Primary 363LC0200X95020893 (CA)

Critical Care Medicine Nurse Practitioner: Definition to come...

About NPI 1467249995

Mary De Leon's National Provider Identifier is 1467249995, issued on Apr 21, 2025. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Glendale, CA. The record was last updated on Jul 10, 2025.