Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00923700 | NJ |
N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00923700 | NJ |
N | 363LP2300X | Nurse Practitioner - Primary Care | 26NJ00923700 | NJ |
NPI | 1073170973 |
---|---|
Provider Name | Manjinder Kaur |
First Address | Paramus, NJ 07652-4142 |
Second Address | Paramus, NJ 07652-4142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2019 |
Last Update Date | 28/10/2021 |