Provider Demographics
NPI:1326795758
Name:BHATTARAI, GEETA MAYA
Entity Type:Individual
Prefix:MRS
First Name:GEETA
Middle Name:MAYA
Last Name:BHATTARAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 9TH AVENUE CIR S APT 206
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-7018
Mailing Address - Country:US
Mailing Address - Phone:701-405-7118
Mailing Address - Fax:
Practice Address - Street 1:4404 9TH AVENUE CIR S APT 102
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-7016
Practice Address - Country:US
Practice Address - Phone:701-405-7118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide