Individual provider · Type 1 NPI
Andrea Banouvong
Nurse Practitioner · San Lorenzo, CA
Practice location
927 Via Honda
San Lorenzo, CA 94580-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95013507 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95013507 (CA) |
Nurse Practitioner: (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 wit…
Other nurse practitioner providers in San Lorenzo
About NPI 1073137634
Andrea Banouvong's National Provider Identifier is 1073137634, issued on May 29, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Lorenzo, CA. The record was last updated on May 29, 2020.