Individual
PATRICIA ANN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
5040 STATE ROAD 67 NORTH, BRADFORD WOODS HEALTH CENTER, MARTINSVILLE, IN 46151
(812) 703-0776
(765) 349-1086
Mailing address
8035 N DOG TROT LN, MORGANTOWN, IN 46160-8957
(812) 703-0776
(812) 855-6986
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
71002669A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71002669A
LICENSE NUMBER
IN
Enumeration date
07/05/2013
Last updated
03/07/2023
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