Healthcare Provider Details

I. General information

NPI: 1659137909
Provider Name (Legal Business Name): RAVNEET TIWANA APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 DR MARTIN LUTHER KING JR BLVD
BAKERSFIELD CA
93307-9901
US

IV. Provider business mailing address

815 DR MARTIN LUTHER KING JR BLVD
BAKERSFIELD CA
93307-9901
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-3905
  • Fax: 661-322-1370
Mailing address:
  • Phone: 661-322-3905
  • Fax: 661-322-1370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95027491
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: