Individual
MIRRISHA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 WAKE CHAPEL RD, FUQUAY VARINA, NC 27526-1956
(919) 514-1740
Mailing address
5139 SANDY BANKS RD, RALEIGH, NC 27616-8427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
WATS-VB04G
NC
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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