Provider Demographics
NPI:1326892399
Name:UPPAL, VIRPAL KAUR
Entity Type:Individual
Prefix:
First Name:VIRPAL
Middle Name:KAUR
Last Name:UPPAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10608 VILLA HERMOSA DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9360
Mailing Address - Country:US
Mailing Address - Phone:661-817-3229
Mailing Address - Fax:
Practice Address - Street 1:10608 VILLA HERMOSA DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9360
Practice Address - Country:US
Practice Address - Phone:661-817-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA805970163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse