Individual
LOREN SIMONE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4796 OLD TAR RD, WINTERVILLE, NC 28590-9752
(252) 353-4111
Mailing address
2996 FOX GLOVE DR, WINTERVILLE, NC 28590-7119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020208
NC
Other
Enumeration date
08/07/2023
Last updated
06/19/2024
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