Provider Demographics
NPI:1043872195
Name:SIDHU, GURPREET KAUR (FNP)
Entity type:Individual
Prefix:
First Name:GURPREET
Middle Name:KAUR
Last Name:SIDHU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:212 COFFEE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1273
Mailing Address - Country:US
Mailing Address - Phone:661-885-6060
Mailing Address - Fax:661-885-6085
Practice Address - Street 1:9710 BRIMHALL RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2779
Practice Address - Country:US
Practice Address - Phone:661-829-6747
Practice Address - Fax:661-829-6937
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily