Provider Demographics
NPI:1750253910
Name:BHAMBRAH, SHARAN KAUR (FACILITY MANAGER RN)
Entity type:Individual
Prefix:
First Name:SHARAN
Middle Name:KAUR
Last Name:BHAMBRAH
Suffix:
Gender:F
Credentials:FACILITY MANAGER RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4538 N 183RD AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-7828
Mailing Address - Country:US
Mailing Address - Phone:602-900-5292
Mailing Address - Fax:602-999-5292
Practice Address - Street 1:4538 N 183RD AVE
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-7828
Practice Address - Country:US
Practice Address - Phone:602-900-5292
Practice Address - Fax:602-999-5292
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ163246163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty