Provider Demographics
NPI:1346731254
Name:MASSEY, NATEEBA YONTE
Entity Type:Individual
Prefix:
First Name:NATEEBA
Middle Name:YONTE
Last Name:MASSEY
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 1:411 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2006
Mailing Address - Country:US
Mailing Address - Phone:810-232-0522
Mailing Address - Fax:810-232-0533
Practice Address - Street 1:411 E 3RD ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2006
Practice Address - Country:US
Practice Address - Phone:810-232-0522
Practice Address - Fax:810-232-0533
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator