Healthcare Provider Details

I. General information

NPI: 1043880677
Provider Name (Legal Business Name): LINZSEY WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2021
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 STANDISH AVE
CINCINNATI OH
45213-2344
US

IV. Provider business mailing address

3577 BOGART AVE
CINCINNATI OH
45229-2605
US

V. Phone/Fax

Practice location:
  • Phone: 513-206-2793
  • Fax:
Mailing address:
  • Phone: 513-206-2793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN470576
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: