Provider Demographics
NPI:1063508638
Name:GUJRAL, HARPREET (CRNP)
Entity Type:Individual
Prefix:
First Name:HARPREET
Middle Name:
Last Name:GUJRAL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5255 LOUGHBORO RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2633
Mailing Address - Country:US
Mailing Address - Phone:202-660-7775
Mailing Address - Fax:202-660-6920
Practice Address - Street 1:3600 JOSEPH SIEWICK DR
Practice Address - Street 2:INOVA FAIR OAKS HOSPITAL, HOSPITALIST GROUP
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1709
Practice Address - Country:US
Practice Address - Phone:703-391-3558
Practice Address - Fax:703-391-3551
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC002526363LF0000X
DCRN1039075363LF0000X
VA0024164074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC008799D67Medicare PIN