MEDICARE: ANIL NAGPAL PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1150183	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11030533	FL

General Provider Information

NPI Number	:	1609627678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIL NAGPAL PMHNP

Provider Business Mailing Address
First Line	:	2717 WIND RIVER LN STE 133
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-2989
Country	:	US
Telephone Number	:	516-515-9100
Fax Number	:	516-515-9100

Provider Business Practice Location Address
First Line	:	2717 WIND RIVER LN STE 133
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-2989
Country	:	US
Telephone Number	:	516-515-9100
Fax Number	:	516-515-9100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	05/07/2026

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