Healthcare Provider Details

I. General information

NPI: 1245007269
Provider Name (Legal Business Name): HARKAMALJIT CHAGGER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2023
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N WIGET LN
WALNUT CREEK CA
94598-2408
US

IV. Provider business mailing address

810 GARLAND WAY
BRENTWOOD CA
94513-2635
US

V. Phone/Fax

Practice location:
  • Phone: 925-691-9806
  • Fax: 925-691-9807
Mailing address:
  • Phone: 916-230-0674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95023885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: