Provider Demographics
NPI:1780415208
Name:MINHAS, BIMALPREET KAUR (FNP)
Entity type:Individual
Prefix:
First Name:BIMALPREET
Middle Name:KAUR
Last Name:MINHAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OLD RIVER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8334
Mailing Address - Country:US
Mailing Address - Phone:661-699-0627
Mailing Address - Fax:
Practice Address - Street 1:100 OLD RIVER RD STE 110
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-8334
Practice Address - Country:US
Practice Address - Phone:661-699-0627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95255803163W00000X
CA95034595363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1568219855OtherKERN ADULT PHF