Doctor Name: | MS. BETTY V WASHINGTON |
NPI Number: | 1689902462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 2-057851 |
Business Practice Address: | 105 Willow Oak Dr Prattville, AL - 360672310 |
Business Phone Number: | 3345382062 |
Business Fax Number: | 3342621628 |
Mailing Address: | 105 Willow Oak Dr, PRATTVILLE |
State: | AL |
Postal Code: | 360672310 |
Phone Number: | 3345382062 |
Fax Number: | 3342621628 |
NPI Enumeration Date: | 12/06/2009 |
NPI Last Update Date: | 12/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2-057851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |