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General NPI Number Information
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NPI Number | 1841149887
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Entity Type | Individual
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Provider Name | KIERRA WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 1509 WILSON TERRANCE
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City | GLENDALE
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State | CA
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Zip | 91206
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Country | US
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Telephone | 818-409-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E REGENT ST APT 333
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City | INGLEWOOD
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State | CA
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Zip | 90301-1827
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Country | US
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Telephone | 804-424-0855
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 95204936
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95039907
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License Number State | CA
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