Provider Demographics
NPI:1891015103
Name:BATES, MEKESHIA D (DNP, MPH, MSN, RN)
Entity type:Individual
Prefix:DR
First Name:MEKESHIA
Middle Name:D
Last Name:BATES
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Gender:F
Credentials:DNP, MPH, MSN, RN
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Mailing Address - Street 1:11120 NEW HAMPSHIRE AVE
Mailing Address - Street 2:SUITE # 204
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2633
Mailing Address - Country:US
Mailing Address - Phone:301-593-1315
Mailing Address - Fax:301-681-4699
Practice Address - Street 1:11120 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE # 204
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2633
Practice Address - Country:US
Practice Address - Phone:301-593-1315
Practice Address - Fax:301-681-4699
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2011-07-01
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Provider Licenses
StateLicense IDTaxonomies
OH11423363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health