Individual
MRS. CRYSTAL MCCOY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
501 N 2ND ST # 100, RICHMOND, VA 23219-1359
(804) 628-4748
Mailing address
6324 FAULKNER DR, NORTH CHESTERFIELD, VA 23234-6181
(804) 539-6668
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024182998
VA
Other
Enumeration date
11/12/2021
Last updated
01/22/2025
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