Provider Demographics
NPI:1346972387
Name:JOSEN, KEERIT KAUR (CPNP, DNP)
Entity Type:Individual
Prefix:MRS
First Name:KEERIT
Middle Name:KAUR
Last Name:JOSEN
Suffix:
Gender:F
Credentials:CPNP, DNP
Other - Prefix:MS
Other - First Name:KEERIT
Other - Middle Name:KAUR
Other - Last Name:GREWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:45925 HIDDEN VALLEY TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6845
Mailing Address - Country:US
Mailing Address - Phone:510-557-8219
Mailing Address - Fax:
Practice Address - Street 1:45925 HIDDEN VALLEY TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-6845
Practice Address - Country:US
Practice Address - Phone:510-557-8219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95112454163W00000X
CA95022447363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95022447OtherCALIFORNIA BOARD OF NURSING