Healthcare Provider Details

I. General information

NPI: 1881130771
Provider Name (Legal Business Name): SUNJIT KAUR SAPRAJ N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2017
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 N HUMBOLDT AVE
KERMAN CA
93630-9417
US

IV. Provider business mailing address

3417 N HUMBOLDT AVE
KERMAN CA
93630-9417
US

V. Phone/Fax

Practice location:
  • Phone: 559-630-0801
  • Fax:
Mailing address:
  • Phone: 559-630-0801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95001262
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: