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Individual
MS. VANDY L WATTS
Active
Individual
MS. VANDY L WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
750845
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312793802
—
TX
01
—
8027UH
BCBS
TX
01
—
P01446828
RR
TX
Enumeration date
09/04/2012
Last updated
03/10/2023
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