Healthcare Provider Details

I. General information

NPI: 1194586123
Provider Name (Legal Business Name): NAVINDER KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 04/08/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N VERMONT AVE
DINUBA CA
93618-1631
US

IV. Provider business mailing address

843 LILY AVE
SANGER CA
93657-8739
US

V. Phone/Fax

Practice location:
  • Phone: 877-960-3426
  • Fax:
Mailing address:
  • Phone: 559-862-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95028690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: