Individual
NITA DHAKAL POUDYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
4755 KINGSWAY DR STE 105, INDIANAPOLIS, IN 46205-1568
(317) 803-2270
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28230221A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014194A
IN
Other
Enumeration date
08/03/2023
Last updated
08/29/2023
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