MEDICARE: TIANA NICOLE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1932074531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIANA NICOLE WASHINGTON

Provider Business Mailing Address
First Line	:	9406 SANDY CREEK RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4838
Country	:	US
Telephone Number	:	240-596-4711
Fax Number	:	301-979-7516

Provider Business Practice Location Address
First Line	:	9406 SANDY CREEK RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4838
Country	:	US
Telephone Number	:	240-596-4711
Fax Number	:	301-979-7516

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

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “ TIANA NICOLE WASHINGTON ” Practice Location

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