Provider Demographics
NPI:1073066494
Name:PAUDEL, SMRITI (RN)
Entity Type:Individual
Prefix:
First Name:SMRITI
Middle Name:
Last Name:PAUDEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 204TH ST
Mailing Address - Street 2:APT B 68
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1567
Mailing Address - Country:US
Mailing Address - Phone:917-446-4724
Mailing Address - Fax:
Practice Address - Street 1:8750 204TH ST
Practice Address - Street 2:APT B 68
Practice Address - City:HOLLIS
Practice Address - State:NY
Practice Address - Zip Code:11423-1567
Practice Address - Country:US
Practice Address - Phone:917-446-4724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY650379-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse