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Individual

KELLY WATTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ANP-C

Contact information

Practice address
1501 W SUNSET RD, HENDERSON, NV 89014-6636
(725) 269-7001
(725) 269-7003
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-8069
(615) 692-0547

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
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