Individual
EVA NICOLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
PO BOX 883, NOVI, MI 48376-0883
(248) 420-9784
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2020091763
MI
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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