Provider Demographics
NPI:1760343065
Name:DE LEON, AGNES GALAITES
Entity type:Individual
Prefix:
First Name:AGNES
Middle Name:GALAITES
Last Name:DE LEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3945
Mailing Address - Country:US
Mailing Address - Phone:808-490-5312
Mailing Address - Fax:
Practice Address - Street 1:559 SHEFFIELD DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3945
Practice Address - Country:US
Practice Address - Phone:808-490-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV863994163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health