Provider Demographics
NPI:1689266785
Name:KAUR, PAWANDEEP (RN)
Entity Type:Individual
Prefix:
First Name:PAWANDEEP
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14204 NE SALMON CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-9600
Mailing Address - Country:US
Mailing Address - Phone:360-546-9788
Mailing Address - Fax:
Practice Address - Street 1:14204 NE SALMON CREEK AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-9600
Practice Address - Country:US
Practice Address - Phone:360-546-9788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program