Provider Demographics
NPI:1114639598
Name:POUDEL, SALINA
Entity Type:Individual
Prefix:
First Name:SALINA
Middle Name:
Last Name:POUDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SALINA
Other - Middle Name:
Other - Last Name:NEPALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14794 E BALTIC PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1561
Mailing Address - Country:US
Mailing Address - Phone:720-421-0155
Mailing Address - Fax:
Practice Address - Street 1:14794 E BALTIC PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1561
Practice Address - Country:US
Practice Address - Phone:720-421-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0336337164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse