Provider Demographics
NPI:1285964544
Name:DELEON, FLORENCE (RN, BSN)
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47318 BUTLER LN
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3450
Mailing Address - Country:US
Mailing Address - Phone:313-909-7473
Mailing Address - Fax:
Practice Address - Street 1:47318 BUTLER LN
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-3450
Practice Address - Country:US
Practice Address - Phone:313-909-7473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-10
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704215165163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health