Provider Demographics
NPI:1134924772
Name:KAUR, MANVEER (FNP-C)
Entity type:Individual
Prefix:
First Name:MANVEER
Middle Name:
Last Name:KAUR
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BLUE HERON LN
Mailing Address - Street 2:
Mailing Address - City:WEST CREEK
Mailing Address - State:NJ
Mailing Address - Zip Code:08092-3329
Mailing Address - Country:US
Mailing Address - Phone:732-604-4725
Mailing Address - Fax:
Practice Address - Street 1:23 BLUE HERON LN
Practice Address - Street 2:
Practice Address - City:WEST CREEK
Practice Address - State:NJ
Practice Address - Zip Code:08092-3329
Practice Address - Country:US
Practice Address - Phone:732-604-4725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15273500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily