Healthcare Provider Details

I. General information

NPI: 1952254591
Provider Name (Legal Business Name): MS. NATHALIE SIMES LEBRETON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 I ST NW
WASHINGTON DC
20052-0011
US

IV. Provider business mailing address

1734 NOBLE DR NE
ATLANTA GA
30306-3142
US

V. Phone/Fax

Practice location:
  • Phone: 202-994-3950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: