Provider Demographics
NPI:1336948975
Name:POUDEL, NARBADA K
Entity type:Individual
Prefix:
First Name:NARBADA
Middle Name:K
Last Name:POUDEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9202 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-3046
Mailing Address - Country:US
Mailing Address - Phone:402-504-6570
Mailing Address - Fax:
Practice Address - Street 1:17855 TIBBLES ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-3290
Practice Address - Country:US
Practice Address - Phone:563-508-5544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide