Provider Demographics
NPI:1114638459
Name:BINNING, GURJEET KAUR
Entity Type:Individual
Prefix:MRS
First Name:GURJEET
Middle Name:KAUR
Last Name:BINNING
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 1:768 S DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-9013
Mailing Address - Country:US
Mailing Address - Phone:530-344-2971
Mailing Address - Fax:
Practice Address - Street 1:768 S DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-9013
Practice Address - Country:US
Practice Address - Phone:530-344-2971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236346367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife