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Individual

AJUNA SHRESTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
11803 SOUTH FWY, SUITE 310, BURLESON, TX 76028-7012
(817) 293-8441
(817) 293-8505
Mailing address
16980 DALLAS PKWY, SUITE 200, DALLAS, TX 75248-1908
(972) 391-1915
(972) 391-2061

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP131294
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
361606201
TX
05
361606202
TX
05
361606203
TX
Enumeration date
08/16/2016
Last updated
12/08/2016
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