Healthcare Provider Details

I. General information

NPI: 1093362311
Provider Name (Legal Business Name): YADWINDER KAUR GILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P O BOX 40833
BAKERSFIELD CA
93384
US

IV. Provider business mailing address

1010 1/2 S UNION AVE
BAKERSFIELD CA
93307-3642
US

V. Phone/Fax

Practice location:
  • Phone: 661-330-9497
  • Fax:
Mailing address:
  • Phone: 661-321-0234
  • Fax: 661-321-9856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035805
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number264369
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: