Individual
CECELIA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-4594
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
(907) 443-4594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
817
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0817
—
AK
Enumeration date
02/13/2006
Last updated
06/05/2013
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