Basic Information
Provider Information
NPI: 1336322684
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WASHINGTON
FirstName: LASHEENA
MiddleName: DENYIA
NamePrefix: MS.
NameSuffix:  
Credential: NURSE PRACTITIONER F
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1220 12TH ST SE STE 120
Address2: UNITY HEALTHCARE DEPARTMENT OF HUMAN RESOURCES
City: WASHINGTON
State: DC
PostalCode: 200033733
CountryCode: US
TelephoneNumber: 2027157900
FaxNumber: 2023885202
Practice Location
Address1: 123 45TH ST NE
Address2: EAST OF THE RIVER
City: WASHINGTON
State: DC
PostalCode: 200194632
CountryCode: US
TelephoneNumber: 2023887890
FaxNumber: 2023885202
Other Information
ProviderEnumerationDate: 12/10/2007
LastUpdateDate: 08/06/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XRN1011765DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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