Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP61098388 | WA |
NPI | 1003440322 |
---|---|
Provider Name | Balraj Kaur |
First Address | Bellevue, WA 98004-1444 |
Second Address | Bellevue, WA 98004-1444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2020 |
Last Update Date | 29/01/2021 |