Individual
ALYSHA WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13403 VOLVO WAY, HAGERSTOWN, MD 21742-3810
(240) 500-3764
Mailing address
13403 VOLVO WAY, HAGERSTOWN, MD 21742-3810
(240) 500-3764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R187054
MD
Other
Enumeration date
10/26/2017
Last updated
01/22/2019
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