Individual provider · Type 1 NPI
Lisa Deng, AGPCNP
Nurse Practitioner · San Luis Obispo, CA
Practice location
1551 Bishop St Ste 310
San Luis Obispo, CA 93401-4637
Fax (805) 542-9589
Mailing address
1241 Johnson Ave # 322
San Luis Obispo, CA 93401-3306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95001507 (CA) |
| Adult Health Nurse Practitioner | 363LA2200X | 95001507 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | 95001507 (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 1750787156
Lisa Deng, AGPCNP's National Provider Identifier is 1750787156, issued on Nov 12, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on May 5, 2016.