Provider Demographics
NPI:1841768108
Name:KULLAR, TAJINDER KAUR (FNP)
Entity Type:Individual
Prefix:
First Name:TAJINDER
Middle Name:KAUR
Last Name:KULLAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 JAN CT STE 150
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4418
Mailing Address - Country:US
Mailing Address - Phone:530-899-8853
Mailing Address - Fax:
Practice Address - Street 1:35 JAN CT STE 150
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4418
Practice Address - Country:US
Practice Address - Phone:530-899-8853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010215363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily