MEDICARE: NATHALIE 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	363LF0000X	Family Nurse Practitioner	0024171208	VA

General Provider Information

NPI Number	:	1558797852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHALIE WASHINGTON

Provider Business Mailing Address
First Line	:	500 N WASHINGTON ST STE 200
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3514
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N WASHINGTON ST STE 200
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-3514
Country	:	US
Telephone Number	:	703-522-1175
Fax Number	:

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

Provider Enumeration Date	:	09/18/2013
Last Update Date	:	08/21/2015

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Directions to “ NATHALIE WASHINGTON ” Practice Location

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