Individual
ANGELA KAY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(735) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019005390
MO
Other
Enumeration date
02/25/2019
Last updated
04/03/2023
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