Organization
PRIME MIND CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJITA GYAWALI KANDEL NURSE PRACTITIONER (OWNER)
(818) 445-7116
Entity
Organization
Contact information
Practice address
420 ACTON AVE, FORT WORTH, TX 76131-1778
(818) 445-7116
Mailing address
420 ACTON AVE, FORT WORTH, TX 76131-1778
(818) 445-7116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
05/06/2026
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