Individual
MRS. LISA JUANITA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
6309 HALLWOOD DR, VERONA, PA 15147-2526
(412) 377-9102
Mailing address
6309 HALLWOOD DR, VERONA, PA 15147-2526
(412) 377-9102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN620599
PA
163WC0400X
Case Management Registered Nurse
RN620599
PA
163WH0200X
Home Health Registered Nurse
RN620599
PA
163WI0500X
Infusion Therapy Registered Nurse
RN620599
PA
163WP0200X
Pediatric Registered Nurse
RN620599
PA
163WP0218X
Pediatric Oncology Registered Nurse
RN620599
PA
163WW0000X
Wound Care Registered Nurse
RN620599
PA
163WX0200X
Oncology Registered Nurse
RN620599
PA
163WX1500X
Ostomy Care Registered Nurse
RN620599
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030784200001
STATE OF PA DHS OFFICE OF INTELLECTUAL DISABILITIES PROVIDER NUMBER
PA
01
—
1030784200002
STATE OF PA DHS OFFICE OF LONG TERM LIVING PROVIDER NUMBER
PA
Enumeration date
12/31/2015
Last updated
10/28/2016
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