Provider Demographics
NPI:1952171829
Name:KAUR, SIMMERPREET (PMHNP)
Entity Type:Individual
Prefix:
First Name:SIMMERPREET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:SIMMERPREET
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:1413 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-0814
Mailing Address - Country:US
Mailing Address - Phone:214-603-3091
Mailing Address - Fax:
Practice Address - Street 1:1413 TIMBER RIDGE DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-0814
Practice Address - Country:US
Practice Address - Phone:214-603-3091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004634363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health