Healthcare Provider Details

I. General information

NPI: 1104240274
Provider Name (Legal Business Name): RESHATA MILLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 06/06/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ATLANTIC ST SW
WASHINGTON DC
20032-2350
US

IV. Provider business mailing address

PO BOX 41114
WASHINGTON DC
20018-0514
US

V. Phone/Fax

Practice location:
  • Phone: 202-540-9857
  • Fax: 202-232-8494
Mailing address:
  • Phone: 302-363-4451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN1027098
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN1027098
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR219629
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN1000831
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: