Provider Demographics
NPI:1952618878
Name:WASHINGTON, ERNESTINE TRAMESE
Entity type:Individual
Prefix:
First Name:ERNESTINE
Middle Name:TRAMESE
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 1:6115 N DAVIS HWY
Mailing Address - Street 2:APT 61B
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6963
Mailing Address - Country:US
Mailing Address - Phone:850-478-1565
Mailing Address - Fax:
Practice Address - Street 1:6115 N DAVIS HWY
Practice Address - Street 2:APT 61B
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6963
Practice Address - Country:US
Practice Address - Phone:850-478-1565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker