Individual
SCOTT A WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2836 COUGAR AVE, NAMPA, ID 83687-9107
(208) 697-1075
Mailing address
2836 COUGAR AVE, NAMPA, ID 83687-9107
(208) 697-1075
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60027
ID
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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