DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GWENDOLYN ABE DE LEON

Active Sole Proprietor

GWENDOLYN ABE DE LEON is a Rehabilitation Nurse healthcare provider located in LA FAYETTE, Georgia. NPI 1083405773 is currently active in the NPPES registry. Verify at CMS.

Rehabilitation Nurse · LA FAYETTE, GA

Registration Details

NPI Number
1083405773
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2025 (1.2880867551477 yrs)
Last Updated
May 13, 2025
License
615507 (NY)
Sole Proprietor
Yes

Practice Information

Address
205 ROADRUNNER BLVD
LA FAYETTE, GA, 307282161
Browse GA providers · Browse ZIP 30728
Phone
7066384664
Primary Specialty
Rehabilitation Nurse
163WR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.