Healthcare Provider Details

I. General information

NPI: 1487289021
Provider Name (Legal Business Name): AMANDEEP KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4664 AMERICAN AVE STE B
BAKERSFIELD CA
93309-4017
US

IV. Provider business mailing address

3801 SHELLEY ANNE WAY
BAKERSFIELD CA
93311-8418
US

V. Phone/Fax

Practice location:
  • Phone: 661-800-9155
  • Fax:
Mailing address:
  • Phone: 661-213-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95032316
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95113992
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: