Provider Demographics
NPI:1578765376
Name:WASHINGTON, CYNTHIA (CNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18627 OLD TRIANGLE RD UNIT 544
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-8026
Mailing Address - Country:US
Mailing Address - Phone:571-320-4979
Mailing Address - Fax:703-441-9360
Practice Address - Street 1:8513 REFORMATORY WAY
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-5263
Practice Address - Country:US
Practice Address - Phone:571-320-4979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN48-01-04-04555376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide