Individual
MARYGRACE FATTALEH WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, FNP-BC
Contact information
Practice address
1115 20TH ST, HUNTINGTON, WV 25703-2071
(304) 399-4121
(304) 399-4126
Mailing address
1115 20TH ST STE 101, HUNTINGTON, WV 25703-2071
(304) 399-4121
(304) 399-4126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
123637
WV
Other
Enumeration date
10/02/2025
Last updated
01/12/2026
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