Individual
MRS. ANGIE LUCIA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
223 W COLE BLVD, CALEXICO, CA 92231-9722
(760) 344-9951
Mailing address
4600 S MILL AVE STE 280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15453
CA
363LF0000X
Family Nurse Practitioner
200550134NP FNP-PP
OR
363LF0000X
Family Nurse Practitioner
AP7565
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238036
—
AZ
05
—
500664640
—
OR
Enumeration date
07/03/2007
Last updated
03/30/2018
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