Provider Demographics
NPI:1205418480
Name:RANU, SUNPREET KAUR (NP)
Entity Type:Individual
Prefix:MISS
First Name:SUNPREET
Middle Name:KAUR
Last Name:RANU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5876 E ATCHISON ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-6535
Mailing Address - Country:US
Mailing Address - Phone:559-779-3920
Mailing Address - Fax:
Practice Address - Street 1:5876 E ATCHISON ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-6535
Practice Address - Country:US
Practice Address - Phone:559-779-3920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF12200502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily