Healthcare Provider Details

I. General information

NPI: 1922578426
Provider Name (Legal Business Name): NAVDEEP KAUR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 Q ST STE 100
BAKERSFIELD CA
93301-1658
US

IV. Provider business mailing address

PO BOX 2426
BAKERSFIELD CA
93303-2426
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-3747
  • Fax: 661-616-3237
Mailing address:
  • Phone: 661-327-3747
  • Fax: 661-616-3237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95010449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: