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NPI Code Detail

MEDICARE: SIMRAT SHERGILL NP

MEDICARE: SIMRAT SHERGILL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5017811NC
2363LF0000XFamily Nurse PractitionerLG-0001009DE
3363LF0000XFamily Nurse PractitionerAC001977MD
4363LP0808XPsychiatric/Mental Health Nurse Practitioner95008557CA

General Provider Information

NPI Number : 1063953552
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMRAT SHERGILL NP
Provider Business Mailing Address
First Line : 20730 VALLEY GREEN DR
Second Line :
City : CUPERTINO
State : CA
Zip : 95014-1704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2029 CENTURY PARK E STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2905
Country : US
Telephone Number : 800-465-3203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2017
Last Update Date : 10/14/2024

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