Individual
TINA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
6160 KEMPSVILLE CIR STE 200A, NORFOLK, VA 23502-3945
(757) 622-6315
(757) 622-7022
Mailing address
6160 KEMPSVILLE CIR, SUITE 200 A, NORFOLK, VA 23502-3933
(757) 625-0151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017142738
AUTHORIZATION TO PRESCRIBE - NP
VA
Enumeration date
05/02/2016
Last updated
06/24/2024
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