Provider Demographics
NPI:1043097322
Name:HARSIRAT KAUR, NFN
Entity Type:Individual
Prefix:
First Name:NFN
Middle Name:
Last Name:HARSIRAT KAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18173 PIONEER BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-3977
Mailing Address - Country:US
Mailing Address - Phone:562-403-0488
Mailing Address - Fax:
Practice Address - Street 1:18173 PIONEER BLVD STE 1
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-3977
Practice Address - Country:US
Practice Address - Phone:562-403-0488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker