Provider Demographics
NPI:1952936346
Name:KAUR, RAVINDER (BSN/RN)
Entity Type:Individual
Prefix:MRS
First Name:RAVINDER
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:BSN/RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 MONTELENA CT
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:CA
Mailing Address - Zip Code:95334-9235
Mailing Address - Country:US
Mailing Address - Phone:209-626-0898
Mailing Address - Fax:
Practice Address - Street 1:922 MONTELENA CT
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:CA
Practice Address - Zip Code:95334-9235
Practice Address - Country:US
Practice Address - Phone:209-626-0898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-06
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95054725163W00000X
CA95015016363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse