Doctor Name: | CONNIE S WATKINS |
NPI Number: | 1013095355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP APRN BC |
License Number: | 44324 |
Business Practice Address: | 6000 Kanakanak Road Medical Staff Office Dillingham, AK - 99576 |
Business Phone Number: | 9078429218 |
Business Fax Number: | 9078429250 |
Mailing Address: | 8520 Boundary Ave, #f4 ANCHORAGE |
State: | AK |
Postal Code: | 99504 |
Phone Number: | 9073378520 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 44324 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |