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NPI Code Detail

MEDICARE: ELIZA ADHIKARI PMHNP

MEDICARE: ELIZA ADHIKARI PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024179814VA

General Provider Information

NPI Number : 1962011346
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZA ADHIKARI PMHNP
Provider Business Mailing Address
First Line : 14210 BRENHAM DR
Second Line :
City : CENTREVILLE
State : VA
Zip : 20121-5331
Country : US
Telephone Number : 703-321-6499
Fax Number :
Provider Business Practice Location Address
First Line : 10710 MIDLOTHIAN TPKE STE 127
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-4776
Country : US
Telephone Number : 804-220-0903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2020
Last Update Date : 07/30/2020

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