Provider Demographics
NPI:1306065891
Name:WELLS, NATALIE YVETTE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:YVETTE
Last Name:WELLS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1630 BENOLI CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-3306
Mailing Address - Country:US
Mailing Address - Phone:410-674-5444
Mailing Address - Fax:301-295-3515
Practice Address - Street 1:4301 JONES BRIDGE ROAD
Practice Address - Street 2:ROOM A1040A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-295-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054914A2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine