Provider Demographics
NPI:1083010557
Name:NAT, PRABHDEEP KAUR (NP)
Entity type:Individual
Prefix:MRS
First Name:PRABHDEEP
Middle Name:KAUR
Last Name:NAT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11053 PITKIN ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-8963
Mailing Address - Country:US
Mailing Address - Phone:929-293-4109
Mailing Address - Fax:
Practice Address - Street 1:11053 PITKIN ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-8963
Practice Address - Country:US
Practice Address - Phone:929-293-4109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1180622363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health