Provider Demographics
NPI:1124563366
Name:ANAND, MANMIT KAUR (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MANMIT
Middle Name:KAUR
Last Name:ANAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MANMIT
Other - Middle Name:KAUR
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:20540 E ARROW HWY STE A
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-1200
Mailing Address - Country:US
Mailing Address - Phone:626-513-7497
Mailing Address - Fax:
Practice Address - Street 1:20540 E ARROW HWY STE A
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-1200
Practice Address - Country:US
Practice Address - Phone:626-513-7497
Practice Address - Fax:626-513-7497
Is Sole Proprietor?:No
Enumeration Date:2016-12-26
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005092363L00000X, 363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care