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Individual
MR. PRAVEEN BODAKUNTA
Active
Individual
MR. PRAVEEN BODAKUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP - BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60641646
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024198329
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
14862
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
288853
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
862811
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95023203
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60909328
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11038890
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
C-APN.0103995-C-NP
CO
Other
Enumeration date
01/17/2018
Last updated
10/16/2026
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