Provider Demographics
NPI:1306304845
Name:BHATTARAI, MUNA BASNET (FNP)
Entity type:Individual
Prefix:
First Name:MUNA
Middle Name:BASNET
Last Name:BHATTARAI
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 1:1305 AIRPORT FWY STE 205
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-6606
Mailing Address - Country:US
Mailing Address - Phone:817-267-6290
Mailing Address - Fax:817-267-0950
Practice Address - Street 1:1305 AIRPORT FWY STE 205
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6606
Practice Address - Country:US
Practice Address - Phone:817-267-6290
Practice Address - Fax:817-267-0950
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV824551363LF0000X
TXAP140383363LF0000X
AZ229447363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily