Healthcare Provider Details

I. General information

NPI: 1720911969
Provider Name (Legal Business Name): SURAKSHAYA PAUDEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUE PAUDEL APRN-CNP

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 WAR ADMIRAL ST
CELINA TX
75009-1725
US

IV. Provider business mailing address

2502 WAR ADMIRAL ST
CELINA TX
75009-1725
US

V. Phone/Fax

Practice location:
  • Phone: 531-218-7219
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1039065
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: