Individual
ELIZABETH ANN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434
(757) 539-0251
(757) 934-2564
Mailing address
2800 GODWIN BLVD, FL 1, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001135090
VA
363LF0000X
Family Nurse Practitioner
Primary
0024164203
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609050285
—
VA
Enumeration date
12/19/2007
Last updated
07/13/2018
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