Individual
ELIZABETH ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 BROKEN CREEK STREET, MCCALL, ID 83638
(530) 305-1538
Mailing address
PO BOX 2072, MCCALL, ID 83638-2072
(208) 630-4019
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
68637
ID
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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