Provider Demographics
NPI:1972020519
Name:ACHIRI, DOREEN NEG
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:NEG
Last Name:ACHIRI
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 1:5800 TIMBER CREEK TER
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2506
Mailing Address - Country:US
Mailing Address - Phone:571-201-6411
Mailing Address - Fax:
Practice Address - Street 1:5800 TIMBER CREEK TERRECE
Practice Address - Street 2:HYATTSVILLE APT 203
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2506
Practice Address - Country:US
Practice Address - Phone:571-201-6411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA374U00000X
DC13510374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5712016411Medicaid