Provider Demographics
NPI:1699564567
Name:SRAN, SUKHDEEP KAUR (FNP-C)
Entity type:Individual
Prefix:
First Name:SUKHDEEP
Middle Name:KAUR
Last Name:SRAN
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 1:4519 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-9640
Mailing Address - Country:US
Mailing Address - Phone:604-377-2424
Mailing Address - Fax:
Practice Address - Street 1:4519 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-9640
Practice Address - Country:US
Practice Address - Phone:360-371-1307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61523700363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care