Provider Demographics
NPI:1821633082
Name:KAUR, RAVNEET (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:RAVNEET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6069 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5467
Mailing Address - Country:US
Mailing Address - Phone:559-431-8900
Mailing Address - Fax:
Practice Address - Street 1:6069 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5467
Practice Address - Country:US
Practice Address - Phone:559-431-8900
Practice Address - Fax:559-431-4367
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95013180363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner