Healthcare Provider Details

I. General information

NPI: 1831036763
Provider Name (Legal Business Name): PRAMILA NEUPANE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7033 BRYANT IRVIN RD STE 200
FORT WORTH TX
76132-4277
US

IV. Provider business mailing address

1517 WHITE SQUALL TRL
ARLINGTON TX
76005-1199
US

V. Phone/Fax

Practice location:
  • Phone: 469-412-6110
  • Fax:
Mailing address:
  • Phone: 469-412-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1232490
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: