Healthcare Provider Details

I. General information

NPI: 1588837660
Provider Name (Legal Business Name): GURINDER KAUR MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3567 MT WHITNEY AVE.
RIVERDALE CA
93656-1028
US

IV. Provider business mailing address

PO BOX 3083
PINEDALE CA
93650-3083
US

V. Phone/Fax

Practice location:
  • Phone: 559-867-7200
  • Fax: 559-867-0152
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: