Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R207214 | MD |
N | 363LA2200X | Nurse Practitioner - Adult Health | R207214 | MD |
N | 363LC1500X | Nurse Practitioner - Community Health | R207214 | MD |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R207214 | MD |
N | 363LN0000X | Nurse Practitioner - Neonatal | R207214 | MD |
N | 363LP0200X | Nurse Practitioner - Pediatrics | R207214 | MD |
N | 363LP2300X | Nurse Practitioner - Primary Care | R207214 | MD |
N | 363LX0106X | Nurse Practitioner - Occupational Health | R207214 | MD |
NPI | 1720635774 |
---|---|
Provider Name | Dipa Adhikari |
First Address | Perry Hall, MD 21128-8940 |
Second Address | Rosedale, MD 21237-2386 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2019 |
Last Update Date | 17/01/2022 |