Individual
ANGELA M WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
27789 WESTERN AVE, WASHINGTON, OK 73093-4526
(580) 591-6625
Mailing address
1016 COUNTY ROAD 4290, CLIFTON, TX 76634-5085
(405) 535-7257
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002650A
—
OK
Enumeration date
08/23/2005
Last updated
01/31/2019
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