Healthcare Provider Details

I. General information

NPI: 1912682378
Provider Name (Legal Business Name): RISHMA KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 SWORDFISH LN
SPRING HILL FL
34609-3648
US

IV. Provider business mailing address

13495 COUNTY LINE RD
SPRING HILL FL
34609-6600
US

V. Phone/Fax

Practice location:
  • Phone: 352-263-0407
  • Fax:
Mailing address:
  • Phone: 352-263-0407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11026751
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11026751
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number11026751
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: