Provider Demographics
NPI:1275812968
Name:DEOL, HARMANDEEP (FNP)
Entity Type:Individual
Prefix:MS
First Name:HARMANDEEP
Middle Name:
Last Name:DEOL
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 1:517 S MADERA AVE
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-1523
Mailing Address - Country:US
Mailing Address - Phone:559-846-6330
Mailing Address - Fax:559-842-2353
Practice Address - Street 1:650 S ZEDIKER AVE BLDG 3
Practice Address - Street 2:
Practice Address - City:PARLIER
Practice Address - State:CA
Practice Address - Zip Code:93648-2639
Practice Address - Country:US
Practice Address - Phone:559-876-6703
Practice Address - Fax:559-876-6705
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP20904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily