# MR. PRAVEEN BODAKUNTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295243848
- **Gender:** Man
- **Credential:** PMHNP - BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | AP60909328 | WA | Yes |
| 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