MEDICARE: SURAKSHAYA PAUDEL

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1039065	TX

General Provider Information

NPI Number	:	1720911969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SURAKSHAYA PAUDEL

Provider Business Mailing Address
First Line	:	2502 WAR ADMIRAL ST
Second Line	:
City	:	CELINA
State	:	TX
Zip	:	75009-1725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2502 WAR ADMIRAL ST
Second Line	:
City	:	CELINA
State	:	TX
Zip	:	75009-1725
Country	:	US
Telephone Number	:	531-218-7219
Fax Number	:

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

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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Directions to “ SURAKSHAYA PAUDEL ” Practice Location

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