Individual
MS. SUSAN DEE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1972 E ELDORADO DR, SALT LAKE CITY, UT 84124-1652
(786) 427-5282
Mailing address
1972 E ELDORADO DR, HOLLADAY, UT 84124-1652
(385) 275-4673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7781202
UT
363LF0000X
Family Nurse Practitioner
19006
CA
363LF0000X
Family Nurse Practitioner
7281202-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7781202-8900
UT
363LF0000X
Family Nurse Practitioner
ARNP9249587
FL
363LF0000X
Family Nurse Practitioner
TAPN700654
NV
Other
Enumeration date
01/12/2009
Last updated
08/10/2022
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