Individual
RUTHIE J WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 VIRGINIA AVE, PETERSBURG, WV 26847-1713
(304) 257-1666
(304) 257-9145
Mailing address
HC 59 BOX 1100, CABINS, WV 26855-9515
(304) 257-1366
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
49442
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030591000
—
WV
05
—
0030591001
—
WV
Enumeration date
05/22/2007
Last updated
07/09/2007
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