Provider Demographics
NPI:1902588999
Name:MECHELA, NATHALIE ELEONORE
Entity Type:Individual
Prefix:
First Name:NATHALIE
Middle Name:ELEONORE
Last Name:MECHELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14813 BOWIE RD APT 103
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1037
Mailing Address - Country:US
Mailing Address - Phone:240-930-3139
Mailing Address - Fax:
Practice Address - Street 1:14813 BOWIE RD APT 103
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1037
Practice Address - Country:US
Practice Address - Phone:240-930-3139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator