Individual
MRS. ROSANA Z WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13378 W SILVERBROOK DR, BOISE, ID 83713-2058
(208) 323-6073
Mailing address
500 W FORT ST, BOISE, ID 83702-9975
(208) 422-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
N-26660
ID
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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