Individual
MRS. MARILYN HOPSON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 STELLY LN, SULPHUR, LA 70663-5134
(337) 312-1000
(337) 527-8963
Mailing address
PO BOX 4610, LAKE CHARLES, LA 70606-4610
(337) 312-1000
(337) 527-8963
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN054586-AP03069
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1547352
—
LA
Enumeration date
07/19/2005
Last updated
01/30/2008
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