Individual
KELLY WATTERS
Active
Individual
KELLY WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ANP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN002043
NV
363LF0000X
Family Nurse Practitioner
APRN002043
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942214408
—
NV
Enumeration date
07/28/2006
Last updated
06/27/2023
Update your record
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