Individual
MS. LINDA ANN DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3603 CERRITO AVE, RICHMOND, CA 94805-1761
(510) 233-4854
(510) 233-4854
Mailing address
1510 4TH ST 1, BERKELEY, CA 94710-1717
(510) 525-8980
(510) 525-8982
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13525
NP FURNISHING NO.
CA
01
—
514375
REG. NURSE LICENSE
CA
Enumeration date
01/15/2007
Last updated
08/05/2015
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