Provider Demographics
NPI:1487218194
Name:NAGI, HARVINDER KAUR
Entity Type:Individual
Prefix:
First Name:HARVINDER
Middle Name:KAUR
Last Name:NAGI
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 1:20240 LEADWELL ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-3215
Mailing Address - Country:US
Mailing Address - Phone:818-621-6511
Mailing Address - Fax:
Practice Address - Street 1:20240 LEADWELL ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-3215
Practice Address - Country:US
Practice Address - Phone:818-621-6511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA687468163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse