Healthcare Provider Details

I. General information

NPI: 1942172812
Provider Name (Legal Business Name): AMRITPAL KAUR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2307
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5269
  • Fax:
Mailing address:
  • Phone: 916-734-5269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95037792
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95098082
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: