Provider Demographics
NPI:1972307627
Name:WASHINGTON, KALANDRIA (FNP-BC)
Entity type:Individual
Prefix:
First Name:KALANDRIA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24238 HIGH COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-2296
Mailing Address - Country:US
Mailing Address - Phone:832-758-6798
Mailing Address - Fax:
Practice Address - Street 1:24238 HIGH COUNTRY DR
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-2296
Practice Address - Country:US
Practice Address - Phone:832-758-6798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1040794363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily