Provider Demographics
NPI:1114778362
Name:KAUR, HARNINDER (LPN)
Entity Type:Individual
Prefix:
First Name:HARNINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10036 HAMPTON OAK DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-1351
Mailing Address - Country:US
Mailing Address - Phone:191-651-2566
Mailing Address - Fax:
Practice Address - Street 1:500 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-2545
Practice Address - Country:US
Practice Address - Phone:833-744-4472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA726129164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse