Individual provider · Type 1 NPI

Mukta Gautam-Dhakal

Psychiatric/Mental Health Nurse Practitioner · Reston, VA

NPI number 1275034837 Active

Practice location

12359 Sunrise Valley Dr Ste 320
Reston, VA 20191-3463

Mailing address

364 Williamson St Apt C5
Elizabeth, NJ 07202-3663

Other practice locations

  • 240 Williamson St Ste 203, Elizabeth, NJ 07202-3671 · (732) 491-9597

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X26NJ00806800 (NJ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024177376 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1275034837

Mukta Gautam-Dhakal's National Provider Identifier is 1275034837, issued on Feb 27, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Reston, VA. The record was last updated on Feb 9, 2021.