Healthcare Provider Details

I. General information

NPI: 1619485117
Provider Name (Legal Business Name): GURVEEN KAUR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 SAMUEL DR
YUBA CITY CA
95991-6325
US

IV. Provider business mailing address

334 SAMUEL DR
YUBA CITY CA
95991-6325
US

V. Phone/Fax

Practice location:
  • Phone: 530-674-9200
  • Fax:
Mailing address:
  • Phone: 530-674-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95007764
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: