Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN54221-FNP-BC | WV |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA.17216-NP | OH |
NPI | 1003202193 |
---|---|
Provider Name | Ann Marie Watson |
First Address | Martins Ferry, OH 43935 |
Second Address | Martins Ferry, OH 43935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 29/10/2015 |