MEDICARE: SUNPREET KAUR BHANGOO R.N.

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	163W00000X	Registered Nurse	RN60761738	WA

General Provider Information

NPI Number	:	1770446593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNPREET KAUR BHANGOO R.N.

Provider Business Mailing Address
First Line	:	2412 BOULEVARD HEIGHTS LOOP SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-4396
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	626 8TH AVE SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-1450
Country	:	US
Telephone Number	:	844-461-4436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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