Provider Demographics
NPI:1942435128
Name:WASHINGTON, CLAIRE A (CRNP)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:A
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6506 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19126-3724
Mailing Address - Country:US
Mailing Address - Phone:215-549-6178
Mailing Address - Fax:
Practice Address - Street 1:41 UNIVERSITY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1873
Practice Address - Country:US
Practice Address - Phone:215-375-7993
Practice Address - Fax:888-974-0793
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP001165-C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA453012ZNL6Medicare PIN