MEDICARE: MS. LASHEENA DENYIA WASHINGTON NURSE PRACTITIONER F

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	363L00000X	Nurse Practitioner	RN1011765	DC

General Provider Information

NPI Number	:	1336322684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LASHEENA DENYIA WASHINGTON NURSE PRACTITIONER F

Provider Business Mailing Address
First Line	:	1220 12TH ST SE STE 120
Second Line	:	UNITY HEALTHCARE DEPARTMENT OF HUMAN RESOURCES
City	:	WASHINGTON
State	:	DC
Zip	:	20003-3733
Country	:	US
Telephone Number	:	202-715-7900
Fax Number	:	202-388-5202

Provider Business Practice Location Address
First Line	:	123 45TH ST NE
Second Line	:	EAST OF THE RIVER
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4632
Country	:	US
Telephone Number	:	202-388-7890
Fax Number	:	202-388-5202

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

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	08/06/2012

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