Individual provider · Type 1 NPI

Supinder Kaur Randhawa, NP

Nurse Practitioner · Roseville, CA

NPI number 1821474230 Active

Practice location

1412 Blue Oaks Blvd
Roseville, CA 95747-7143

Fax (916) 784-7548

Mailing address

4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95002473 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821474230

Supinder Kaur Randhawa, NP's National Provider Identifier is 1821474230, issued on Aug 7, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Roseville, CA. The record was last updated on Aug 5, 2026.