Individual
JULIA ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 HOSPITAL DRIVE, SUITE 105, KETCHUM, ID 83340-0000
(208) 622-8811
(208) 622-6921
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP197A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805190200
—
ID
Enumeration date
01/24/2007
Last updated
09/06/2012
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