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TAKARA KAMILLE WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
61286760
WA
367A00000X
Advanced Practice Midwife
Primary
09000506A
IN

Other

Enumeration date
08/29/2022
Last updated
01/19/2026
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