Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | ||
Y | 176B00000X | Midwife | RN1027098 | DC |
N | 363L00000X | Nurse Practitioner | 0024171342 | VA |
N | 363L00000X | Nurse Practitioner | R219629 | MD |
N | 363L00000X | Nurse Practitioner | RN1027098 | DC |
NPI | 1104240274 |
---|---|
Provider Name | Reshata Mills |
First Address | Washington, DC 20018-0514 |
Second Address | Washington, DC 20032-2350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2014 |
Last Update Date | 12/05/2020 |