Basic Information
Provider Information
NPI: 1699260570
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEUSSEN
FirstName: NATHALIE
MiddleName: CATHARINA CORNELIA
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5206 WILSON LN
Address2:  
City: BETHESDA
State: MD
PostalCode: 208142408
CountryCode: US
TelephoneNumber: 2022791089
FaxNumber:  
Practice Location
Address1: 1500 FOREST GLEN RD
Address2:  
City: SILVER SPRING
State: MD
PostalCode: 209101460
CountryCode: US
TelephoneNumber: 3017547000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/24/2018
LastUpdateDate: 06/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
374J00000X  Y Nursing Service Related ProvidersDoula 

No ID Information.


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