Individual
CRIS TINA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3518 HURSTBOURNE RIDGE BLVD, LOUISVILLE, KY 40299-6501
(502) 544-9028
Mailing address
PO BOX 99564, LOUISVILLE, KY 40269-0564
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1080327
KY
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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