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

DR. LEONA MARIE ANDERSON, DNP, AGPCNP-C

Deactivated

DR. LEONA MARIE ANDERSON, DNP, AGPCNP-C is a Primary Care Nurse Practitioner healthcare provider located in GLENDALE, Oregon. NPI 1629007182 is deactivated in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · GLENDALE, OR

This NPI has been deactivated. The record was deactivated on April 13, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1629007182
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2006 (12.786301369863 yrs)
Last Updated
Aug 10, 2020
Deactivated
Apr 13, 2019
Licenses
RN091484 (GA)
201805000NPPP (OR)

Practice Information

Address
101 1ST ST
GLENDALE, OR, 974429640
Browse OR providers · Browse ZIP 97442
Phone
5418325400
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
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.