Individual
ANNE MICHELLE R. DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1026 2ND ST, APT 35, LAFAYETTE, CA 94549-3970
(510) 577-0321
Mailing address
1026 2ND ST, APT 35, LAFAYETTE, CA 94549-3970
(510) 677-0321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688046
CA
363LF0000X
Family Nurse Practitioner
Primary
21553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21553
NURSE PRACTITIONER FURNISHING NUMBER
CA
01
—
F0114589
BOARD CERTIFICATION NUMBER
CA
Enumeration date
05/29/2011
Last updated
03/07/2023
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