Individual
SUZANNE MAYO WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
675 MAIN STREET, MIDDLETOWN, CT 06457
(860) 347-6971
Mailing address
30 FOXCROFT RD, WEST HARTFORD, CT 06119-1177
(607) 206-3194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8394
CT
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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