Provider Demographics
NPI:1700905684
Name:SARAN, MANDEEP KAUR (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MANDEEP
Middle Name:KAUR
Last Name:SARAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SPRINGSIDE DR.
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333
Mailing Address - Country:US
Mailing Address - Phone:330-666-9544
Mailing Address - Fax:330-670-8569
Practice Address - Street 1:231 SPRINGSIDE DR.
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333
Practice Address - Country:US
Practice Address - Phone:330-666-9544
Practice Address - Fax:330-670-8569
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08377363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08377OtherLICENSE NUMBER