Provider Demographics
NPI:1386535961
Name:DAH, MUE THA
Entity type:Individual
Prefix:
First Name:MUE
Middle Name:THA
Last Name:DAH
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 1:4911 N 64TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1908
Mailing Address - Country:US
Mailing Address - Phone:402-609-6645
Mailing Address - Fax:
Practice Address - Street 1:5440 W GARY GATELY ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-1733
Practice Address - Country:US
Practice Address - Phone:402-890-9697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant