Individual
MRS. ALISON L WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.M.S PA-C
Contact information
Practice address
6252 YELLOWSTONE RD, CHEYENNE, WY 82009-3432
(307) 778-2015
(307) 778-7060
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
435
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027099700
—
NE
05
—
10027099702
—
NE
05
—
10027099703
—
NE
05
—
142755500
—
WY
01
—
1688
LICENSE
CO
01
—
2D4405
MEDICARE
CO
01
—
435
WY LIC 435
WY
01
—
W33945
MEDICARE
WY
Enumeration date
03/05/2008
Last updated
10/18/2023
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