Basic Information
Provider Information
NPI: 1962914143
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAUR
FirstName: HARPREET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 COUNTRY CANDLE LN
Address2:  
City: NORTHBOROUGH
State: MA
PostalCode: 015321771
CountryCode: US
TelephoneNumber: 8572949982
FaxNumber:  
Practice Location
Address1: 10 N MAIN ST
Address2:  
City: CHARLTON
State: MA
PostalCode: 015071590
CountryCode: US
TelephoneNumber: 5082483015
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/28/2017
LastUpdateDate: 10/31/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XRN273588MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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