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Individual

TERRY WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
34171 N CHUCKWALLA TRL, QUEEN CREEK, AZ 85142-6053
(480) 390-7540
(480) 988-1855
Mailing address
34171 N CHUCKWALLA TRL, QUEEN CREEK, AZ 85142-6053
(480) 390-7540
(480) 988-1855

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN111586
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
238510
AZ

Other

Enumeration date
11/02/2020
Last updated
11/02/2020
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