Healthcare Provider Details

I. General information

NPI: 1821392846
Provider Name (Legal Business Name): ADAM DANKO N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 07/29/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 WILLOW PASS RD STE 200
CONCORD CA
94520-5823
US

IV. Provider business mailing address

1420 WILLOW PASS RD STE 200
CONCORD CA
94520-5823
US

V. Phone/Fax

Practice location:
  • Phone: 925-646-5480
  • Fax: 925-646-5622
Mailing address:
  • Phone: 925-646-5480
  • Fax: 925-646-5622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number20015
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: