Provider Demographics
NPI:1205841970
Name:TARANGO, NIMALJEET KAUR (NP, MSN, RN)
Entity Type:Individual
Prefix:MS
First Name:NIMALJEET
Middle Name:KAUR
Last Name:TARANGO
Suffix:
Gender:F
Credentials:NP, MSN, RN
Other - Prefix:MS
Other - First Name:NIMALJEET
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:757 TRESTLE GLEN RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2329
Mailing Address - Country:US
Mailing Address - Phone:510-835-1488
Mailing Address - Fax:
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:SFGH FAMILY HEALTH CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8281
Practice Address - Fax:415-206-5105
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF13536363LF0000X
CARN534737163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical