Individual
SUZANNE L WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
544 W PERSHING RD STE 200, DECATUR, IL 62526-3226
(217) 872-2400
(217) 875-4680
Mailing address
544 W PERSHING RD STE 200, DECATUR, IL 62526-3226
(217) 872-2400
(217) 875-4680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017984
IL
Other
Enumeration date
09/01/2018
Last updated
10/08/2019
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