Individual
CRYSTAL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, FNP-BC
Contact information
Practice address
557 MAIN ST, LOGAN, WV 25601-3809
(304) 896-5001
(304) 752-3436
Mailing address
25 COOK RD, LOGAN, WV 25601-9715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
66417
WV
Other
Enumeration date
04/16/2018
Last updated
08/25/2022
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