Provider Demographics
NPI:1467176107
Name:MCCLEES, NATHANIEL BYRON
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:BYRON
Last Name:MCCLEES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6805 W FOREST RD APT 102
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3329
Mailing Address - Country:US
Mailing Address - Phone:202-695-4346
Mailing Address - Fax:
Practice Address - Street 1:2501 PORTER ST NW APT 506
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1252
Practice Address - Country:US
Practice Address - Phone:301-357-7849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant