Provider Demographics
NPI:1790995918
Name:SHERGILL, AVNINDER KAUR (NP)
Entity Type:Individual
Prefix:
First Name:AVNINDER
Middle Name:KAUR
Last Name:SHERGILL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3711
Mailing Address - Country:US
Mailing Address - Phone:661-638-2273
Mailing Address - Fax:661-638-2288
Practice Address - Street 1:5925 TRUXTUN AVE STE A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0433
Practice Address - Country:US
Practice Address - Phone:661-638-2273
Practice Address - Fax:661-638-2288
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11683363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily