Individual
ELLEN C WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
32 MALLETTS BAY AVE STE B, WINOOSKI, VT 05404-1960
(802) 655-4422
(802) 861-2678
Mailing address
32 MALLETTS BAY AVE STE B, WINOOSKI, VT 05404-1960
(802) 655-4422
(802) 861-2678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101023489
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023489
FLETCHER ALLEN PREFERRED
VT
05
—
1012575
—
VT
01
—
389625
MVP
VT
01
—
69295
VERMONT MANAGED CARE
VT
Enumeration date
06/08/2006
Last updated
07/10/2014
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