Individual
CONNIE S WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP APRN BC
Contact information
Practice address
6000 KANAKANAK ROAD, MEDICAL STAFF OFFICE, DILLINGHAM, AK 99576
(907) 842-9218
(907) 842-9250
Mailing address
8520 BOUNDARY AVE, #F4, ANCHORAGE, AK 99504
(907) 337-8520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
432
AK
363LF0000X
Family Nurse Practitioner
44324
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2826
—
AK
Enumeration date
11/02/2006
Last updated
07/08/2007
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