Individual
VICKI ANN WATSON
Active
Individual
VICKI ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02375
MEDICARE GROUP
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
Enumeration date
08/15/2005
Last updated
06/30/2014
Update your record
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