Provider Demographics
NPI:1689474199
Name:ACHARYA, DHAN MAYA (CAREGIVER)
Entity type:Individual
Prefix:
First Name:DHAN
Middle Name:MAYA
Last Name:ACHARYA
Suffix:
Gender:
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8504 N 177TH ST
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68007-3338
Mailing Address - Country:US
Mailing Address - Phone:701-781-2534
Mailing Address - Fax:
Practice Address - Street 1:8636 N 169TH ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-3237
Practice Address - Country:US
Practice Address - Phone:701-781-2534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion