Individual
DIANNA MARIE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
711 N PROVIDENCE RD, COLUMBIA, MO 65203-4308
(573) 443-0427
Mailing address
31304 LACQUER AVE, MACON, MO 63552-4517
(636) 233-3921
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2023038065
MO
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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