Provider Demographics
NPI:1770992596
Name:MESFIN, BENNY (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BENNY
Middle Name:
Last Name:MESFIN
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16434 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-3936
Mailing Address - Country:US
Mailing Address - Phone:512-947-2747
Mailing Address - Fax:410-826-3855
Practice Address - Street 1:11 E LEXINGTON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-1718
Practice Address - Country:US
Practice Address - Phone:667-260-2933
Practice Address - Fax:410-826-3855
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR192357363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health