Individual
MRS. SELENA MARIE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
23401 PRAIRIE STAR PKWY STE B-300, LENEXA, KS 66227-7268
(913) 677-6319
Mailing address
15480 S STURGEON DR, OLATHE, KS 66062-7007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-80344-091
KS
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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