Provider Demographics
NPI:1760228456
Name:GILL, GURPINDER KAUR (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:GURPINDER
Middle Name:KAUR
Last Name:GILL
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2681 NORTHERN CROSS RD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4764
Mailing Address - Country:US
Mailing Address - Phone:510-366-0052
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 1608
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5317
Practice Address - Country:US
Practice Address - Phone:833-931-1716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95030393363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health