Healthcare Provider Details

I. General information

NPI: 1841037462
Provider Name (Legal Business Name): AMARDEEP KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40657 ROAD 128
CUTLER CA
93615-2033
US

IV. Provider business mailing address

841 W REESE CT
VISALIA CA
93277-5192
US

V. Phone/Fax

Practice location:
  • Phone: 559-390-0023
  • Fax: 559-596-9195
Mailing address:
  • Phone: 559-882-9956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95031068
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: