Provider Demographics
NPI:1851816342
Name:SHRESTHA, ANUJA (NP)
Entity type:Individual
Prefix:MRS
First Name:ANUJA
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ANUJA
Other - Middle Name:
Other - Last Name:SHRESTHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:3220 213TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1057
Mailing Address - Country:US
Mailing Address - Phone:347-951-4875
Mailing Address - Fax:
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3816
Practice Address - Country:US
Practice Address - Phone:347-951-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308329363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health