Healthcare Provider Details

I. General information

NPI: 1497253686
Provider Name (Legal Business Name): HELEN DENISSE MEJIA CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 FENTON ST STE 1200
SILVER SPRING MD
20910-3808
US

IV. Provider business mailing address

9100 6TH ST
LANHAM MD
20706-2741
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-1250
  • Fax:
Mailing address:
  • Phone: 301-408-6064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR229540
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberR229540
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: