MEDICARE: MRS. GURJEET KAUR BINNING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	95024527	CA
2	367A00000X	Advanced Practice Midwife	236346	CA

General Provider Information

NPI Number	:	1114638459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GURJEET KAUR BINNING

Provider Business Mailing Address
First Line	:	797 W CHILDS AVE
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95341-6805
Country	:	US
Telephone Number	:	209-383-5871
Fax Number	:

Provider Business Practice Location Address
First Line	:	9483 N FORT WASHINGTON RD STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-5938
Country	:	US
Telephone Number	:	559-797-9797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	06/07/2024

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