Individual
EDESSA ORE-GIRON DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3451 E. 12TH STREET, OAKLAND, CA 94601
(510) 535-4000
(510) 535-4128
Mailing address
1601 FRUITVALE AVE, OAKLAND, CA 94601
(510) 535-4000
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN671027
CA
363L00000X
Nurse Practitioner
NP17435
CA
363LF0000X
Family Nurse Practitioner
Primary
NPF17435
CA
Other
Enumeration date
05/15/2007
Last updated
05/27/2022
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