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Individual
MRS. AMY HELEN WATSON
Active
Individual
MRS. AMY HELEN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PAC, MSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
562830
CA
363A00000X
Physician Assistant
17617
CA
363L00000X
Nurse Practitioner
Primary
15291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15291
NURSE PRACTITIONER LICENS
CA
01
—
17617
PHYSICIAN ASSISTANT
CA
Enumeration date
11/04/2005
Last updated
01/03/2025
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