Individual
KRISTEN NICOLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1818 E WINDSOR RD, URBANA, IL 61802-9566
(217) 255-9500
Mailing address
3920 SUMMER SAGE CT, CHAMPAIGN, IL 61822-2010
(309) 287-7515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.026186
IL
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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