Individual provider · Type 1 NPI
Damon Anderson Green, NP
Nurse Practitioner · Oakland, CA
Practice location
275 W Macarthur Blvd
Oakland, CA 94611-5641
Mailing address
372 Orange St Apt 2
Oakland, CA 94610-2938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95010752 (CA) |
| Adult Health Nurse Practitioner | 363LA2200X | 95010752 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | 95010752 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95010752 (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…
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About NPI 1093279259
Damon Anderson Green, NP's National Provider Identifier is 1093279259, issued on Jan 22, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, CA. The record was last updated on Jan 11, 2022.