Provider Demographics
NPI:1467952846
Name:WASHINGTON, SHARON L (RN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
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 1:1014 PALMER RD
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-9085
Mailing Address - Country:US
Mailing Address - Phone:404-786-2688
Mailing Address - Fax:770-484-5508
Practice Address - Street 1:1014 PALMER RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-9085
Practice Address - Country:US
Practice Address - Phone:404-786-2688
Practice Address - Fax:770-484-5088
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN128931163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management