Individual
HALEY WATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209024473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209024473
APRN LICENSE
IL
Enumeration date
12/28/2021
Last updated
06/15/2023
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