Provider Demographics
NPI:1770273336
Name:SAROYA, MANJINDER SINGH (FNP)
Entity type:Individual
Prefix:
First Name:MANJINDER
Middle Name:SINGH
Last Name:SAROYA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8870 AUBURN FOLSOM RD STE C
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6511
Mailing Address - Country:US
Mailing Address - Phone:916-303-6229
Mailing Address - Fax:
Practice Address - Street 1:8870 AUBURN FOLSOM RD STE C
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-6511
Practice Address - Country:US
Practice Address - Phone:916-303-6229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF04230623363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily