Healthcare Provider Details

I. General information

NPI: 1700905684
Provider Name (Legal Business Name): MANDEEP KAUR SARAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 SPRINGSIDE DR.
AKRON OH
44333
US

IV. Provider business mailing address

231 SPRINGSIDE DR.
AKRON OH
44333
US

V. Phone/Fax

Practice location:
  • Phone: 330-666-9544
  • Fax: 330-670-8569
Mailing address:
  • Phone: 330-666-9544
  • Fax: 330-670-8569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number08377
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: