Provider Demographics
NPI:1225347826
Name:PABLA, NAVDEEP KAUR (RN BSN MSN NP-C)
Entity Type:Individual
Prefix:MISS
First Name:NAVDEEP
Middle Name:KAUR
Last Name:PABLA
Suffix:
Gender:F
Credentials:RN BSN MSN NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:24815 RIDGECROFT AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3454
Mailing Address - Country:US
Mailing Address - Phone:586-420-0369
Mailing Address - Fax:586-420-0369
Practice Address - Street 1:24815 RIDGECROFT AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021
Practice Address - Country:US
Practice Address - Phone:586-420-0369
Practice Address - Fax:586-420-0369
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704231635363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health