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NPI Code Detail

MEDICARE: SHANTE WASHINGTON FNP-C

MEDICARE: SHANTE WASHINGTON FNP-C
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
1363LF0000XFamily Nurse Practitioner243822LA

General Provider Information

NPI Number : 1821967514
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANTE WASHINGTON FNP-C
Provider Business Mailing Address
First Line : 101 TRANQUILITY LN
Second Line :
City : DUSON
State : LA
Zip : 70529-3379
Country : US
Telephone Number : 337-315-9694
Fax Number :
Provider Business Practice Location Address
First Line : 1100 BERTRAND DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4110
Country : US
Telephone Number : 337-261-8546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2025
Last Update Date : 11/01/2025

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Directions to “ SHANTE WASHINGTON FNP-C” Practice Location

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