Healthcare Provider Details

I. General information

NPI: 1902713449
Provider Name (Legal Business Name): DALJIT KAUR MANN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 LINCOLN ST
OROVILLE CA
95966-5961
US

IV. Provider business mailing address

935 MARKET ST
YUBA CITY CA
95991-4217
US

V. Phone/Fax

Practice location:
  • Phone: 530-534-7500
  • Fax:
Mailing address:
  • Phone: 530-674-4261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95041310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: