Individual
IRENE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
830 CHALKSTONE AVE, DEPT OF MEDICINE, PROVIDENCE, RI 02908-4799
(401) 273-7100
(401) 457-3364
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4799
(401) 273-7100
(401) 457-3364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP24067
RI
Other
Enumeration date
09/29/2005
Last updated
10/13/2014
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