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

Gwendolyn Abe De Leon

Individual provider Rehabilitation Registered Nurse · NPI 1083405773

Gwendolyn Abe De Leon is a Rehabilitation Registered Nurse in LA Fayette, Georgia. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

205 Roadrunner Blvd
LA Fayette, GA 30728-2161
Phone: (706) 638-4664
Show map & directions

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

Specialties & licences

Rehabilitation Registered Nurse (primary) Taxonomy 163WR0400X · Licence 615507 (NY)

Record details

NPI number1083405773
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025