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Individual
DACIA N WATTS
Active
Individual
DACIA N WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112574
IA
163W00000X
Registered Nurse
2005031446
MO
163W00000X
Registered Nurse
98660
CT
363L00000X
Nurse Practitioner
Primary
A112574
IA
363LF0000X
Family Nurse Practitioner
04770
CT
363LF0000X
Family Nurse Practitioner
A-112574
IA
363LF0000X
Family Nurse Practitioner
A112574
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
06/15/2011
Last updated
03/17/2022
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