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Individual

NICOLE LOUISE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, MPAS

Contact information

Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(023) 884-0007
(702) 476-2040
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 383-2620

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1628
NV
363AS0400X
Surgical Physician Assistant
PA23154
CA

Other

Enumeration date
08/23/2013
Last updated
04/07/2026
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