SearchCaliforniaNurse Practitioner

Andrea Banouvong

NPI 1073137634 · on the registry since 2020 · sole proprietor

Practice

Address
927 Via Honda
San Lorenzo, CA 94580
Phone
(510) 407-0749

Registry record

Primary taxonomy
Nurse Practitioner
363L00000X
Also registered as
Acute Care Nurse Practitioner
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California