Individual
ANNA INGRID WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, AGPCNP-BC
Contact information
Practice address
8425 WAUKEGAN RD, MORTON GROVE, IL 60053-2202
(847) 965-8100
Mailing address
143 BRISTOL LN UNIT 5, WOOD DALE, IL 60191-2817
(608) 239-9120
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209.017498
IL
Other
Enumeration date
09/24/2018
Last updated
04/20/2022
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