Individual
LISA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
305 GOLF HILLS RD, HAVERTOWN, PA 19083-1027
(215) 514-7094
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP019016
PA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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