Organization
CLASSIC HEALTHCARE, A SPECIALTY NURSING SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA H. JOHNSON DNP, FNP-BC, CWOCN (OWNER)
(510) 846-8590
Entity
Organization
Contact information
Practice address
1300 CLAY ST STE 600, OAKLAND, CA 94612-1427
(510) 846-8590
(510) 638-3400
Mailing address
4475 BRIAR CLIFF RD, OAKLAND, CA 94605-4624
(510) 846-8590
(510) 638-3400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043263452
—
CA
Enumeration date
07/02/2022
Last updated
07/02/2022
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