Provider Demographics
NPI:1083302871
Name:WASHINGTON, SHIRELLE COLLINS (RN)
Entity Type:Individual
Prefix:
First Name:SHIRELLE
Middle Name:COLLINS
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5258 MADDEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-2724
Mailing Address - Country:US
Mailing Address - Phone:281-901-8485
Mailing Address - Fax:
Practice Address - Street 1:5258 MADDEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-2724
Practice Address - Country:US
Practice Address - Phone:281-901-8485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator