MEDICARE: MRS. CAROL LISHA WHITTINGTON-WASHINGTON CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	R094051	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053620971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROL LISHA WHITTINGTON-WASHINGTON CRNP

Provider Business Mailing Address
First Line	:	8700 CENTRAL AVE STE 302
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4853
Country	:	US
Telephone Number	:	301-333-0083
Fax Number	:	301-333-0442

Provider Business Practice Location Address
First Line	:	8700 CENTRAL AVE STE 302
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4853
Country	:	US
Telephone Number	:	301-333-0083
Fax Number	:	301-333-0442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2010
Last Update Date	:	01/21/2026

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