Provider Demographics
NPI:1326783887
Name:SRAN, KIRANDEEP KAUR (FNP)
Entity Type:Individual
Prefix:
First Name:KIRANDEEP
Middle Name:KAUR
Last Name:SRAN
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 1:37623 CENTRAL COVE CT
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-6667
Mailing Address - Country:US
Mailing Address - Phone:510-579-9455
Mailing Address - Fax:
Practice Address - Street 1:37623 CENTRAL COVE CT
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-6667
Practice Address - Country:US
Practice Address - Phone:510-579-9455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95020819363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily