Provider Demographics
NPI:1659146231
Name:ACHARYA, HEMLAL (ARNP PHMNP-BC, MS)
Entity Type:Individual
Prefix:MR
First Name:HEMLAL
Middle Name:
Last Name:ACHARYA
Suffix:
Gender:M
Credentials:ARNP PHMNP-BC, MS
Other - Prefix:MR
Other - First Name:HEM
Other - Middle Name:
Other - Last Name:ACHARYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP PMHNP-BC, MSC
Mailing Address - Street 1:202 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-4939
Mailing Address - Country:US
Mailing Address - Phone:253-545-2050
Mailing Address - Fax:
Practice Address - Street 1:126 AUBURN AVE STE 300
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5082
Practice Address - Country:US
Practice Address - Phone:253-735-0166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-23
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61547785363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty