| Doctor Name: | MRS. LATISHA SHIROSE WASHINGTON |
| NPI Number: | 1518274364 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 2002003900 |
| Business Practice Address: | 6202 Dupree Ave Ferguson, MO - 631353219 |
| Business Phone Number: | 3144407928 |
| Business Fax Number: | |
| Mailing Address: | 6202 Dupree Ave, FERGUSON |
| State: | MO |
| Postal Code: | 631353219 |
| Phone Number: | 3144407928 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2010 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 2002003900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |