Individual
MRS. AMY WEST WATTIGNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD, EMERGENCY DEPT, BATON ROUGE, LA 70808-4300
(225) 765-7163
Mailing address
DEPT AT952639, ATLANTA, GA 31192-2639
(800) 684-0857
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.#794.INTERIM
LA
363A00000X
Physician Assistant
Primary
PA.200587
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2327992
—
LA
Enumeration date
10/12/2012
Last updated
03/16/2020
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