Provider Demographics
NPI:1568918563
Name:LEON, GABRIELA ANNA (ARNP-FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:ANNA
Last Name:LEON
Suffix:
Gender:F
Credentials:ARNP-FNP-BC
Other - Prefix:MS
Other - First Name:GABRIELA
Other - Middle Name:ANNA
Other - Last Name:LOMBARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP-FNP-BC
Mailing Address - Street 1:6386 WESTCHESTER CLUB DR N
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6337
Mailing Address - Country:US
Mailing Address - Phone:954-401-3216
Mailing Address - Fax:
Practice Address - Street 1:7200 W COMMERCIAL BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2148
Practice Address - Country:US
Practice Address - Phone:954-748-4991
Practice Address - Fax:954-748-5022
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9287947363LF0000X
OR201702232NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1407812365OtherNORTH BEND MEDICAL CENTER GROUP NPI
OR161133OtherNORTH BEND MEDICAL CENTER GROUP MEDICAID
ORR0000WFBTVOtherNORTH BEND MEDICAL CENTER GROUP MEDICARE