Provider Demographics
NPI:1184939050
Name:QUARLES WASHINGTON, KRISTIE (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:
Last Name:QUARLES WASHINGTON
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-5730
Mailing Address - Country:US
Mailing Address - Phone:866-233-6925
Mailing Address - Fax:410-886-8606
Practice Address - Street 1:1101 K ST NW FL 10
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-4210
Practice Address - Country:US
Practice Address - Phone:866-233-6925
Practice Address - Fax:410-886-8606
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1031489363LF0000X
CT4424363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548839012OtherPRIMARY CARE
CT004236346Medicaid
DC024905300Medicaid