Provider Demographics
NPI:1881130771
Name:SAPRAJ, SUNJIT KAUR (NP)
Entity type:Individual
Prefix:
First Name:SUNJIT
Middle Name:KAUR
Last Name:SAPRAJ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3417 N HUMBOLDT AVE
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-9417
Mailing Address - Country:US
Mailing Address - Phone:559-630-0801
Mailing Address - Fax:
Practice Address - Street 1:3417 N HUMBOLDT AVE
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-9417
Practice Address - Country:US
Practice Address - Phone:559-630-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily