Individual
STACY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3073 BOONE TRAIL EXT, FAYETTEVILLE, NC 28304-3805
(910) 429-2263
Mailing address
2811 EAGLE CREST LN, FAYETTEVILLE, NC 28306-8093
(910) 574-7882
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
222305
NC
163WM1400X
Nurse Massage Therapist (NMT)
11794
NC
Other
Enumeration date
08/18/2014
Last updated
05/16/2024
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