Healthcare Provider Details

I. General information

NPI: 1750971271
Provider Name (Legal Business Name): RAMANPAL KAUR PUNIA PMHNP-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAMANPAL KAUR GREWAL

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13269 FIRESTONE DR
RANCHO CUCAMONGA CA
91739-2701
US

IV. Provider business mailing address

13269 FIRESTONE DR
RANCHO CUCAMONGA CA
91739-2701
US

V. Phone/Fax

Practice location:
  • Phone: 909-318-3422
  • Fax:
Mailing address:
  • Phone: 909-318-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95016301
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95016301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: