Individual
CARRIE WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1800 N KNOXVILLE AVE STE B, PEORIA, IL 61603-3005
(309) 624-9595
(309) 624-9694
Mailing address
1800 N KNOXVILLE AVE STE B, PEORIA, IL 61603-3005
(309) 624-9595
(309) 624-9694
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209.022877
IL
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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