Doctor Name: | MRS. MARILYN HOPSON WATSON |
NPI Number: | 1013916378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN054586-AP03069 |
Business Practice Address: | 1200 Stelly Ln Sulphur, LA - 706635134 |
Business Phone Number: | 3373121000 |
Business Fax Number: | 3375278963 |
Mailing Address: | Po Box 4610, LAKE CHARLES |
State: | LA |
Postal Code: | 706064610 |
Phone Number: | 3373121000 |
Fax Number: | 3375278963 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN054586-AP03069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |