Provider Demographics
NPI:1316330970
Name:DOSANJH, SHARNJEET (FNP)
Entity type:Individual
Prefix:
First Name:SHARNJEET
Middle Name:
Last Name:DOSANJH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:CA
Mailing Address - Zip Code:95334-1257
Mailing Address - Country:US
Mailing Address - Phone:209-394-7913
Mailing Address - Fax:209-394-9093
Practice Address - Street 1:7970 LANDER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HILMAR
Practice Address - State:CA
Practice Address - Zip Code:95324-8350
Practice Address - Country:US
Practice Address - Phone:209-262-1819
Practice Address - Fax:209-262-1817
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA767023163W00000X
CA95002234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse