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NPI Code Detail

MEDICARE: GRISHMA POUDEL

MEDICARE:   GRISHMA  POUDEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1497309603
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRISHMA POUDEL
Provider Business Mailing Address
First Line : 1600 E ROCHELLE AVE APT 272
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5537
Country : US
Telephone Number : 318-450-9089
Fax Number :
Provider Business Practice Location Address
First Line : 6730 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5396
Country : US
Telephone Number : 702-665-5593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2019
Last Update Date : 03/29/2023

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Directions to “ GRISHMA POUDEL ” Practice Location

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