Provider Demographics
NPI:1437923125
Name:WASHINGTON, CAMISHA M (STNA)
Entity Type:Individual
Prefix:
First Name:CAMISHA
Middle Name:M
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:CAMISHA
Other - Middle Name:M
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:STNA
Mailing Address - Street 1:2106 SINTON AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2539
Mailing Address - Country:US
Mailing Address - Phone:513-370-1326
Mailing Address - Fax:
Practice Address - Street 1:2106 SINTON AVE APT 104
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2539
Practice Address - Country:US
Practice Address - Phone:513-370-1326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH601740990922376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide