Provider Demographics
NPI:1437895679
Name:MIND BEHAVIOR PROFESSIONAL NURSING CORPORATION
Entity type:Organization
Organization Name:MIND BEHAVIOR PROFESSIONAL NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAVNEET
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:209-484-0702
Mailing Address - Street 1:PO BOX 3777
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95381-3777
Mailing Address - Country:US
Mailing Address - Phone:209-484-0702
Mailing Address - Fax:209-330-0904
Practice Address - Street 1:384 E OLIVE AVE STE 2
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4051
Practice Address - Country:US
Practice Address - Phone:209-484-0702
Practice Address - Fax:209-330-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty