MEDICARE: BINDU NEUPANE WAGLE

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	363L00000X	Nurse Practitioner	71009772A	IN
2	363LA2200X	Adult Health Nurse Practitioner	26NJ14982100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639701584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINDU NEUPANE WAGLE

Provider Business Mailing Address
First Line	:	500 DEKALB AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-5243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 DEKALB AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-5243
Country	:	US
Telephone Number	:	718-964-6161
Fax Number	:

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

Provider Enumeration Date	:	02/09/2020
Last Update Date	:	02/17/2025

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Directions to “ BINDU NEUPANE WAGLE ” Practice Location

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