MEDICARE: NATALIE 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	374U00000X	Home Health Aide

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	:	1497209597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE WASHINGTON

Provider Business Mailing Address
First Line	:	5515 CLARCONA POINTE WAY APT 705
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-3274
Country	:	US
Telephone Number	:	407-716-7909
Fax Number	:

Provider Business Practice Location Address
First Line	:	5515 CLARCONA POINTE WAY APT 705
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-3274
Country	:	US
Telephone Number	:	407-716-7909
Fax Number	:

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

Provider Enumeration Date	:	08/08/2016
Last Update Date	:	08/08/2016

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Directions to “ NATALIE WASHINGTON ” Practice Location

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