MEDICARE: RODNEY WASHINGTON

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	164W00000X	Licensed Practical Nurse	880343	LA

General Provider Information

NPI Number	:	1174452080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY WASHINGTON

Provider Business Mailing Address
First Line	:	1563 UNIONPORT RD APT 6C
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-5944
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1563 UNIONPORT RD APT 6C
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-5944
Country	:	US
Telephone Number	:	347-837-9913
Fax Number	:

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

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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Directions to “ RODNEY WASHINGTON ” Practice Location

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