Provider Demographics
NPI:1801546577
Name:BARDIN, JASMINDER (NP)
Entity type:Individual
Prefix:
First Name:JASMINDER
Middle Name:
Last Name:BARDIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JASMINDER
Other - Middle Name:
Other - Last Name:NAGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:21201 KITTRIDGE ST APT 6206
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91303-5028
Mailing Address - Country:US
Mailing Address - Phone:845-521-5504
Mailing Address - Fax:
Practice Address - Street 1:14416 W MEEKER BLVD
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5284
Practice Address - Country:US
Practice Address - Phone:623-876-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily