Individual provider · Type 1 NPI

Anna Bouttavong, RN

Registered Nurse · Oakland, CA

NPI number 1144965138 Active

Practice location

2633 E 27th St
Oakland, CA 94601-1912

Mailing address

2600 Stockton Blvd
Sacramento, CA 95817-2210

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95209212 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1144965138

Anna Bouttavong, RN's National Provider Identifier is 1144965138, issued on May 3, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Oakland, CA. The record was last updated on May 3, 2022.