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NPI Code Detail

MEDICARE: RATTANDEEP KAUR AG-ACNP

MEDICARE: RATTANDEEP KAUR AG-ACNP
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
1363LA2100XAcute Care Nurse Practitioner0024194759VA

General Provider Information

NPI Number : 1376413898
Entity Type Code : Individual
Provider Name (Legal Business Name) : RATTANDEEP KAUR AG-ACNP
Provider Business Mailing Address
First Line : PO BOX 749112
Second Line :
City : ATLANTA
State : GA
Zip : 30374-9112
Country : US
Telephone Number : 434-295-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1215 LEE ST
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22908-0816
Country : US
Telephone Number : 434-243-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2025
Last Update Date : 01/21/2026

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