Individual
MONIQUE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12202 BROOKGREEN DR, LOUISVILLE, KY 40243-2106
(502) 322-0712
Mailing address
12123 SHELBYVILLE RD STE 100, LOUISVILLE, KY 40243-1079
(502) 322-0712
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
1152723
KY
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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