Individual
HEATHER WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1234 E MCCLERNON ST, SPRINGFIELD, MO 65803-3647
(417) 833-9128
Mailing address
1234 E MCCLERNON ST, SPRINGFIELD, MO 65803-3647
(417) 833-9128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2003005334
MO
163W00000X
Registered Nurse
RN182995
GA
163W00000X
Registered Nurse
RN72170
HI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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