Individual provider · Type 1 NPI

Michele MBA

Psychiatric/Mental Health Nurse Practitioner · Washington, DC

NPI number 1790115418 Active

Practice location

5101 Wisconsin Ave NW
Washington, DC 20016-4120

Call (202) 618-9125 Map

Mailing address

761 Upsal St SE
Washington, DC 20032-4123

Other practice locations

  • 761 Upsal St SE, Washington, DC 20032-4123 · (202) 945-7067
  • 7826 Eastern Ave NW, Washington, DC 20012-1324 · (202) 525-2132

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XRN1013158 (DC)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN1013158 (DC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1790115418

Michele MBA's National Provider Identifier is 1790115418, issued on Nov 15, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, DC. The record was last updated on Jul 1, 2021.