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Andrea Banouvong
Nurse Practitioner in San Lorenzo, California
NPI 1073137634

Andrea Banouvong is a Nurse Practitioner based in San Lorenzo, CA. Andrea Banouvong practices in San Lorenzo, CA. The NPI Number for Andrea Banouvong is 1073137634 and holds a License No. 95013507 (California).

The current practice location address for Andrea Banouvong is 927 Via Honda, San Lorenzo, CA and can be reached out via phone at 510-407-0749.

Location: 927 Via Honda, San Lorenzo, CA, 94580-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073137634
Provider Name
Andrea Banouvong
Credential
Provider Entity Type
Individual
Gender
Female
Address
927 Via Honda, San Lorenzo, CA, 94580-2815
Phone Number
510-407-0749
Fax Number
Provider Enumeration Date
05/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
927 Via Honda
City
San Lorenzo
State
California
Zip
94580-2815
Phone Number
510-407-0749
Fax Number
person
Provider Business Mailing Address Details
Address
927 Via Honda
City
San Lorenzo
State
California
Zip
94580-2815
Phone Number
510-407-0749
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95013507 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
95013507 (California)
Definition
Definition to come...
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