Individual
DEEPA SHRESTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7901 BROADWAY # H2-04, ELMHURST, NY 11373-1329
(718) 334-3721
(718) 334-5006
Mailing address
7901 BROADWAY # H2-04, ELMHURST, NY 11373-1329
(718) 334-3721
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
310539
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310539
NY
Other
Enumeration date
03/23/2022
Last updated
10/24/2023
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