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Individual

DURGA POUDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
639 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7539
(573) 708-5000
Mailing address
639 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7539
(573) 708-5000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017031428
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024032163
MO

Other

Enumeration date
08/03/2024
Last updated
08/09/2024
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