Provider Demographics
NPI:1457066805
Name:DHAKAL, MANISHA (APRN)
Entity Type:Individual
Prefix:
First Name:MANISHA
Middle Name:
Last Name:DHAKAL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 PAYTON LN
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-1120
Mailing Address - Country:US
Mailing Address - Phone:214-226-9757
Mailing Address - Fax:
Practice Address - Street 1:1002 PAYTON LN
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-1120
Practice Address - Country:US
Practice Address - Phone:214-226-9757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1091069363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology