Individual
MRS. AMY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
812 KNOLLWOOD DR, GREENWOOD, IN 46142-2019
(317) 445-1538
(765) 779-4010
Mailing address
812 KNOLLWOOD DR, GREENWOOD, IN 46142-2019
(317) 445-1538
(765) 779-4010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001376A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37001376A
INDIANA CERTIFICATION
IN
Enumeration date
06/09/2008
Last updated
06/09/2008
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