Healthcare Provider Details

I. General information

NPI: 1427469832
Provider Name (Legal Business Name): PARMINDER KAUR BINNING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 WARD AVE BLDG A SUITE 1
PATTERSON CA
95363-8529
US

IV. Provider business mailing address

PO BOX 547
PATTERSON CA
95363-0547
US

V. Phone/Fax

Practice location:
  • Phone: 209-892-1300
  • Fax: 209-780-4141
Mailing address:
  • Phone: 209-892-1300
  • Fax: 209-780-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95000882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: