Individual
AMANDA MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
224 CROWN ST, BRISTOL, CT 06010-6125
(860) 877-3157
Mailing address
224 CROWN ST, BRISTOL, CT 06010-6125
(860) 877-3157
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.106646
CT
363LF0000X
Family Nurse Practitioner
Primary
12.007329
CT
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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