Provider Demographics
NPI:1619586658
Name:KAUR, NINA CHANPREET (CHHP, CBC, CD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:CHANPREET
Last Name:KAUR
Suffix:
Gender:F
Credentials:CHHP, CBC, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MOUNT BETHEL RD STE 279
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1047
Practice Address - Country:US
Practice Address - Phone:646-535-6833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty