Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary De Leon

Individual provider Nurse Practitioner · NPI 1467249995

Mary De Leon is a Nurse Practitioner in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

1619 S Adams St
Glendale, CA 91205-3608
Phone: (323) 458-3055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence 95020893 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95020893 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95020893 (CA)

Record details

NPI number1467249995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

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