Healthcare Provider Details

I. General information

NPI: 1861844540
Provider Name (Legal Business Name): PRITHVI BHATTARAI DNP/FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PRITHVI BHATTARAI

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10110 MOLECULAR DR STE 200
ROCKVILLE MD
20850-7542
US

IV. Provider business mailing address

10110 MOLECULAR DR STE 200
ROCKVILLE MD
20850-7542
US

V. Phone/Fax

Practice location:
  • Phone: 301-610-4000
  • Fax: 301-610-4000
Mailing address:
  • Phone: 301-610-4000
  • Fax: 301-610-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024173632
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC002060
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: