Individual
MISS TERESA MICHELLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4900 RAEFORD RD, FAYETTEVILLE, NC 28304-3142
(910) 429-7229
Mailing address
4900 RAEFORD RD, FAYETTEVILLE, NC 28304-3142
(309) 706-0394
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012195
NC
363LP2300X
Primary Care Nurse Practitioner
209.013239
IL
Other
Enumeration date
08/31/2015
Last updated
11/19/2021
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