Individual
MISS CARLISA A WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1055 PARKWAY DR STE A, NATCHITOCHES, LA 71457-6276
(318) 352-6464
(318) 352-2488
Mailing address
1055 PARKWAY DR STE A, NATCHITOCHES, LA 71457-6276
(318) 352-6464
(318) 352-2488
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20091934
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20091934
CPNP-PC
LA
01
—
PA060094
PRESCRIPTIVE AND DISTRIBUTING AUTHORITY APPLICATION #
LA
Enumeration date
10/28/2009
Last updated
08/09/2019
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