Individual
DAMON ANDERSON GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
Mailing address
372 ORANGE ST APT 2, OAKLAND, CA 94610-2938
(415) 272-2972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010752
CA
363LA2100X
Acute Care Nurse Practitioner
95010752
CA
363LA2200X
Adult Health Nurse Practitioner
95010752
CA
363LG0600X
Gerontology Nurse Practitioner
95010752
CA
Other
Enumeration date
01/22/2019
Last updated
01/11/2022
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