Provider Demographics
NPI:1760253546
Name:NAGRA, RANJANPREET KAUR (RN)
Entity Type:Individual
Prefix:
First Name:RANJANPREET
Middle Name:KAUR
Last Name:NAGRA
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 1:1815 JAMES ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-3274
Mailing Address - Country:US
Mailing Address - Phone:317-225-8005
Mailing Address - Fax:
Practice Address - Street 1:1815 JAMES ST APT 2
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-3274
Practice Address - Country:US
Practice Address - Phone:317-225-8005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY811093163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical