Provider Demographics
NPI:1003349648
Name:WASHINGTON, COURTNEY ARIANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ARIANNE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1615 POYDRAS ST STE 1255
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-1287
Mailing Address - Country:US
Mailing Address - Phone:504-321-7404
Mailing Address - Fax:504-399-0435
Practice Address - Street 1:1615 POYDRAS ST STE 1255
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1287
Practice Address - Country:US
Practice Address - Phone:504-321-0435
Practice Address - Fax:504-399-0435
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1536207Q00000X
LA320516207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty