Individual
THERESA MARIE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
16140 US HIGHWAY 441, EUSTIS, FL 32726-6508
(352) 360-6548
Mailing address
21520 SULLIVAN RANCH BLVD, MOUNT DORA, FL 32757-7861
(352) 729-4137
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP909232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305603100
—
FL
Enumeration date
02/15/2006
Last updated
11/16/2010
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