Individual
GAVNEET UPPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4577 LA JOLLA VILLAGE DR STE 1212, SAN DIEGO, CA 92122-1494
(619) 894-9582
Mailing address
1213 AMERICAN AVE, PLAINFIELD, IN 46168-3268
(317) 410-1131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244838A
IN
163W00000X
Registered Nurse
95374146
CA
363L00000X
Nurse Practitioner
Primary
95030427
CA
363LF0000X
Family Nurse Practitioner
71013180A
IN
Other
Enumeration date
10/12/2022
Last updated
10/15/2024
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