MEDICARE: SASMITA PARAJULI

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	363LF0000X	Family Nurse Practitioner	AP9545	AZ

General Provider Information

NPI Number	:	1619428109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASMITA PARAJULI

Provider Business Mailing Address
First Line	:	7725 N ORACLE RD STE 131
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85704-6987
Country	:	US
Telephone Number	:	520-544-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	1572 W KLAMATH DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1618
Country	:	US
Telephone Number	:	928-502-1374
Fax Number	:

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

Provider Enumeration Date	:	10/19/2016
Last Update Date	:	10/19/2016

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Directions to “ SASMITA PARAJULI ” Practice Location

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