Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 320516 | LA |
N | 207Q00000X | Family Doctor | S1536 | TX |
NPI | 1003349648 |
---|---|
Provider Name | Dr. Courtney Arianne Washington |
First Address | New Orleans, LA 70112-1287 |
Second Address | New Orleans, LA 70112-1287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2017 |
Last Update Date | 25/10/2021 |