Individual
MANDIP KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 262-2220
(407) 834-5011
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9442554
FL
364SG0600X
Gerontology Clinical Nurse Specialist
ARNP 9442554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019588100
—
FL
Enumeration date
11/01/2016
Last updated
10/29/2020
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