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Individual
ELLY MARIE WATSON
Active
Individual
ELLY MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
46698
ID
367A00000X
Advanced Practice Midwife
Primary
5771963
ID
Other
Enumeration date
06/05/2025
Last updated
07/28/2025
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