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Mukta Gautam-dhakal
Psychiatric/Mental Health Nurse Practitioner in Reston, Virginia
NPI 1275034837

Mukta Gautam-dhakal is a Psychiatric/Mental Health Nurse Practitioner based in Elizabeth, VA and is specialized in Psychiatric/Mental Health. Mukta Gautam-dhakal practices in Reston, VA. The NPI Number for Mukta Gautam-dhakal is 1275034837 and holds a License No. 26NJ00806800 (Virginia).

The current practice location address for Mukta Gautam-dhakal is 12359 Sunrise Valley Dr Ste 320, Reston, VA and can be reached out via phone at 703-596-4796.

Location: 12359 Sunrise Valley Dr Ste 320, Reston, VA, 07202-3663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275034837
Provider Name
Mukta Gautam-dhakal
Credential
Provider Entity Type
Individual
Gender
Female
Address
12359 Sunrise Valley Dr Ste 320, Reston, VA, 07202-3663
Phone Number
703-596-4796
Fax Number
Provider Enumeration Date
02/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12359 Sunrise Valley Dr Ste 320
City
Reston
State
Virginia
Zip
20191-3463
Phone Number
703-596-4796
Fax Number
person
Provider Business Mailing Address Details
Address
12359 Sunrise Valley Dr Ste 320
City
Reston
State
Virginia
Zip
20191-3463
Phone Number
703-596-4796
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
0024177376 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ00806800 (New Jersey)
Definition
Definition to come...
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