Provider Demographics
NPI:1144960659
Name:BRAR, HARSHDEEP SINGH (FNP)
Entity type:Individual
Prefix:
First Name:HARSHDEEP
Middle Name:SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11130 OTSEGO ST APT 431
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-6831
Mailing Address - Country:US
Mailing Address - Phone:559-394-8987
Mailing Address - Fax:
Practice Address - Street 1:11130 OTSEGO ST APT 431
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-6831
Practice Address - Country:US
Practice Address - Phone:559-394-8987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019247363LF0000X
CA95202441163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH1000XNursing Service ProvidersRegistered NurseHospice