Individual
MANITA LAMICHHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1311 S 5TH ST, WACO, TX 76798-1435
(254) 710-2292
Mailing address
9437 CHUPAROSA DR, FORT WORTH, TX 76177-7246
(817) 727-5458
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1222970
TX
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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