Individual
ERICKA MATREATHIA WATSON-POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 508-7569
Mailing address
624 PHYLLIS DR, AVONDALE, LA 70094-2930
(504) 508-7569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237024
LA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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