Individual
LEENA THAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
3545 79TH ST, APT 5G, JACKSON HEIGHTS, NY 11372-4818
(646) 612-0407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
678327
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403832-01
NY
Other
Enumeration date
07/05/2016
Last updated
03/02/2022
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