Provider Demographics
NPI:1497413892
Name:DHAKAL, KAMALA (FNP)
Entity Type:Individual
Prefix:
First Name:KAMALA
Middle Name:
Last Name:DHAKAL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 AVENIDA FLORES
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-7107
Mailing Address - Country:US
Mailing Address - Phone:954-295-6571
Mailing Address - Fax:
Practice Address - Street 1:1849 AVENIDA FLORES
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-7107
Practice Address - Country:US
Practice Address - Phone:954-295-6571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018553363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner