Individual
MRS. MARILYN F WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
7836 W JEFFERSON BLVD STE 101, FORT WAYNE, IN 46804-4178
(260) 494-3484
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28048263A
IN
363LF0000X
Family Nurse Practitioner
Primary
71000756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200308160
—
IN
Enumeration date
10/02/2006
Last updated
04/25/2025
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