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NPI Code Detail

MEDICARE: PAWANPREET KAUR FNP-C

MEDICARE: PAWANPREET KAUR FNP-C
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
1363LF0000XFamily Nurse Practitioner0024179345VA
2163W00000XRegistered Nurse0001239797VA

General Provider Information

NPI Number : 1861017972
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAWANPREET KAUR FNP-C
Provider Business Mailing Address
First Line : 8330 OLD KEENE MILL RD
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22152-1640
Country : US
Telephone Number : 703-569-1220
Fax Number :
Provider Business Practice Location Address
First Line : 14087 RICHMOND HWY UNIT 101
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22191-2171
Country : US
Telephone Number : 571-300-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2020
Last Update Date : 02/27/2025

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Directions to “ PAWANPREET KAUR FNP-C” Practice Location

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