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NPI Code Detail

MEDICARE: MRS. KRYSTAL WASHINGTON

MEDICARE: MRS. KRYSTAL 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
1364S00000XClinical Nurse Specialist71006999IN
2364SA2200XAdult Health Clinical Nurse SpecialistCOA.16742-NSOH
3364SA2200XAdult Health Clinical Nurse Specialist71006999AIN

General Provider Information

NPI Number : 1932585650
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRYSTAL WASHINGTON
Provider Business Mailing Address
First Line : 319 N HARRISON ST
Second Line :
City : NEW MADISON
State : OH
Zip : 45346-9775
Country : US
Telephone Number : 937-459-8350
Fax Number :
Provider Business Practice Location Address
First Line : 319 N HARRISON ST
Second Line :
City : NEW MADISON
State : OH
Zip : 45346-9775
Country : US
Telephone Number : 937-459-8350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2015
Last Update Date : 04/11/2020

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Directions to “ MRS. KRYSTAL WASHINGTON ” Practice Location

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