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Individual

KATHRYN DEACON WATTS

Active
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Individual

KATHRYN DEACON WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R176362
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510532300
—
MD
01
—
96829001
BCBS
MD
01
—
96829002
BCBS
MD
01
—
96829003
BCBS
MD
01
—
96829004
BCBS
MD
01
—
D3800010
BCBS
DC
01
—
J4570011
BCBS
DC
01
—
W8490007
BCBS
DC
Enumeration date
07/19/2010
Last updated
08/05/2024
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