Individual
MRS. LISA M WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
130 HOSPITAL RD STE 102, PRINCE FREDERICK, MD 20678-4029
(321) 431-2027
Mailing address
3001 WILDFLOWER DR, LA PLATA, MD 20646-3271
(321) 431-2027
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AC002671
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11001327
FL
363LA2100X
Acute Care Nurse Practitioner
RN296596
GA
Other
Enumeration date
03/28/2019
Last updated
03/28/2025
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