Provider Demographics
NPI:1235811571
Name:BRAR, AMRITPAL KAUR (FNP)
Entity Type:Individual
Prefix:
First Name:AMRITPAL
Middle Name:KAUR
Last Name:BRAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 LA NUBE CT
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-4964
Mailing Address - Country:US
Mailing Address - Phone:916-257-8194
Mailing Address - Fax:
Practice Address - Street 1:3325 LA NUBE CT
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-4964
Practice Address - Country:US
Practice Address - Phone:916-257-8194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026475363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily