Provider Demographics
NPI:1578321543
Name:BHATTA, SMEETA PRASAI (PMHNP)
Entity Type:Individual
Prefix:
First Name:SMEETA
Middle Name:PRASAI
Last Name:BHATTA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MORGAN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4455
Mailing Address - Country:US
Mailing Address - Phone:703-477-3605
Mailing Address - Fax:
Practice Address - Street 1:416 MORGAN RIDGE RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-4455
Practice Address - Country:US
Practice Address - Phone:703-477-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023058731363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health