Individual
DR. ERICA ELENA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DHSC, CNC
Contact information
Practice address
25 LAKE ST, LEDYARD, CT 06339-1628
(860) 375-3477
Mailing address
25 LAKE ST, LEDYARD, CT 06339-1628
(860) 772-8734
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
1220895967
CT
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
1251517965
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1251517965
—
CT
Enumeration date
10/28/2022
Last updated
08/08/2026
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