Provider Demographics
NPI:1801032834
Name:WASHINGTON, SHIRELLE ELAIN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SHIRELLE
Middle Name:ELAIN
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15822 SW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2361
Mailing Address - Country:US
Mailing Address - Phone:954-432-0028
Mailing Address - Fax:
Practice Address - Street 1:15822 SW 14TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-2361
Practice Address - Country:US
Practice Address - Phone:954-432-0028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2166242363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health