Provider Demographics
NPI:1023827664
Name:WASHINGTON, WILIMINNE ELIZABETH
Entity type:Individual
Prefix:
First Name:WILIMINNE
Middle Name:ELIZABETH
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 CROSSWINDS DR APT 303
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5156
Mailing Address - Country:US
Mailing Address - Phone:917-628-7885
Mailing Address - Fax:
Practice Address - Street 1:224 CROSSWINDS DR APT 303
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5156
Practice Address - Country:US
Practice Address - Phone:917-628-7885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0042520163W00000X
VA342000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No163W00000XNursing Service ProvidersRegistered Nurse