Provider Demographics
NPI:1760788004
Name:WASHINGTON, SHERRILL ANNE (NP)
Entity Type:Individual
Prefix:MS
First Name:SHERRILL
Middle Name:ANNE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 N. MISSION RD (INPATIENT TOWER)
Mailing Address - Street 2:3G 100 NSY
Mailing Address - City:LA
Mailing Address - State:CA
Mailing Address - Zip Code:90033
Mailing Address - Country:US
Mailing Address - Phone:323-226-3406
Mailing Address - Fax:323-226-3440
Practice Address - Street 1:1240 N. MISSION RD (INPATIENT TOWER)
Practice Address - Street 2:3G 100 NSY
Practice Address - City:LA
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-226-3406
Practice Address - Fax:323-226-3440
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235267363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner