Individual
MRS. TIA L. WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.C., W.H.N.P-BC
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0001157255
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024166158
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12000325
CAQH
—
Enumeration date
08/21/2008
Last updated
06/03/2022
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