Provider Demographics
NPI:1720387459
Name:KHERA, HARPINDER KAUR (STNA)
Entity Type:Individual
Prefix:MRS
First Name:HARPINDER
Middle Name:KAUR
Last Name:KHERA
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6925
Mailing Address - Country:US
Mailing Address - Phone:330-690-4138
Mailing Address - Fax:
Practice Address - Street 1:1024 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6925
Practice Address - Country:US
Practice Address - Phone:330-690-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400959670809376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide