| NPI | 1093279259 |
|---|---|
| Other Name | DAMON LUCIEN ANDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010752) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95010752) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010752) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95010752) | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-01-11 |