Individual
SHANTALE WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2655
(855) 247-8474
Mailing address
3422 CROW POINT WAY, ELIZABETH CITY, NC 27909-7063
(757) 402-0435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F07240070
NC
Other
Enumeration date
07/02/2024
Last updated
08/27/2024
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