Andrea Banouvong
Andrea Banouvong is a Nurse Practitioner in San Lorenzo, California. Graduated from University of California, San Francisco School of Medicine in 2019, 7 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 7
- Trained at
- University of California, San Francisco School of Medicine
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
927 Via HondaSan Lorenzo, CA 94580-2815
Phone: (510) 407-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 95013507 (CA) |
|---|---|
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 95013507 (CA) |
Record details
| NPI number | 1073137634 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2020 |
| Last updated in NPPES | May 29, 2020 |
| Certification date | May 29, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduated | 2019 (7 years in practice) |
| Group practice | Sutter Bay Medical Foundation — 3762 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |