Individual
MS. MICHELLE MARIE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7070
Mailing address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005238
CT
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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