Healthcare Provider Details

I. General information

NPI: 1144104100
Provider Name (Legal Business Name): NESFIELD VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7832 WISCONSIN AVE
BETHESDA MD
20814-3562
US

IV. Provider business mailing address

4007 WOODLAWN RD
CHEVY CHASE MD
20815-6738
US

V. Phone/Fax

Practice location:
  • Phone: 240-630-0328
  • Fax:
Mailing address:
  • Phone: 240-393-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MISS TIFFANY NESFIELD
Title or Position: CEO
Credential:
Phone: 240-393-0387