Individual
HOLLY A WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
714 E 50TH ST, INDIANAPOLIS, IN 46205-1108
(765) 480-8887
Mailing address
714 E 50TH ST, INDIANAPOLIS, IN 46205-1108
(765) 480-8887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003219A
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2020
Last updated
06/25/2021
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