Individual
FAWN RENEA WATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 273-1701
(302) 273-4497
Mailing address
4601 S DUPONT HWY STE 2, DOVER, DE 19901-6405
(302) 698-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0052382
DE
363L00000X
Nurse Practitioner
AC006854
MD
363L00000X
Nurse Practitioner
LG-0012050
DE
363LF0000X
Family Nurse Practitioner
AC006854
MD
363LF0000X
Family Nurse Practitioner
Primary
LG-0012050
DE
Other
Enumeration date
06/26/2022
Last updated
10/02/2024
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