Doctor Name: | CECELIA WATSON |
NPI Number: | 1063485613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 817 |
Business Practice Address: | 1000 Greg Kruschek Ave Nome, AK - 997620966 |
Business Phone Number: | 9074433311 |
Business Fax Number: | 9074434594 |
Mailing Address: | Po Box 966, NOME |
State: | AK |
Postal Code: | 997620966 |
Phone Number: | 9074433311 |
Fax Number: | 9074434594 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |