Individual
LYDIA MAYES WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(704) 637-1182
Mailing address
200 WILEY AVE, SALISBURY, NC 28144-6224
(704) 252-0406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5008106
NC
363LF0000X
Family Nurse Practitioner
Primary
500816
NC
363LF0000X
Family Nurse Practitioner
SP012872
PA
Other
Enumeration date
09/19/2013
Last updated
08/02/2023
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