# MISS CARLISA A WASHINGTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083940845
- **Gender:** F
- **Credential:** CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 20091934 | LA | Yes |

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 08/09/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20091934 | CPNP-PC | LA |
| 01 | — | PA060094 | PRESCRIPTIVE AND DISTRIBUTING AUTHORITY APPLICATION \# | LA |