Provider Demographics
NPI:1841635885
Name:SANDHU-KALER, GURDISH KAUR (FNP-BC)
Entity type:Individual
Prefix:
First Name:GURDISH
Middle Name:KAUR
Last Name:SANDHU-KALER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4113 SHARONDALE DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-0957
Mailing Address - Country:US
Mailing Address - Phone:214-213-7715
Mailing Address - Fax:
Practice Address - Street 1:3303 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6812
Practice Address - Country:US
Practice Address - Phone:940-484-1887
Practice Address - Fax:940-591-0458
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX726461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX302437YKP5Medicare PIN