MEDICARE: SIMRIT KAUR SARAON MSN PLLC

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1588286124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMRIT KAUR SARAON MSN PLLC

Provider Business Mailing Address
First Line	:	PO BOX 370237
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-0237
Country	:	US
Telephone Number	:	702-348-5582
Fax Number	:

Provider Business Practice Location Address
First Line	:	4604 ERIN GLEN ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-7253
Country	:	US
Telephone Number	:	702-348-5582
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. SIMRIT KAUR SARAON
Credential	:	DNP APRN FNP-BC
Telephone Number	:	702-348-5582

Provider Enumeration Date	:	05/16/2020
Last Update Date	:	05/16/2020

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