Doctor Name: | MRS. JULIE FAE WATTS |
NPI Number: | 1023103090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 110329 |
Business Practice Address: | 500 N 5th St Hot Springs, SD - 577471480 |
Business Phone Number: | 8007645370 |
Business Fax Number: | 6057452890 |
Mailing Address: | 899 E 6th St, CHADRON |
State: | NE |
Postal Code: | 693372711 |
Phone Number: | 3084322513 |
Fax Number: | 6057452890 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 110329 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |