Individual provider · Type 1 NPI

Balika Paudel Gautam

Family Nurse Practitioner · Manassas, VA

NPI number 1881563070 Active

Practice location

8609 Sudley Rd Ste 105&204
Manassas, VA 20110-8321

Call (703) 393-8883 Map

Fax (866) 765-1362

Mailing address

4932 Longmire Way
Chantilly, VA 20151-2543

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024194853 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1881563070

Balika Paudel Gautam's National Provider Identifier is 1881563070, issued on Nov 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manassas, VA. The record was last updated on Nov 4, 2025.