| Doctor Name: | MS. CYNTHIA KRISTEN WATSON |
| NPI Number: | 1619225638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 96363-30 |
| Business Practice Address: | 13105 Watertown Plank Rd Elm Grove, WI - 531222213 |
| Business Phone Number: | 2627544481 |
| Business Fax Number: | 2627544487 |
| Mailing Address: | 13105 Watertown Plank Rd, ELM GROVE |
| State: | WI |
| Postal Code: | 531222213 |
| Phone Number: | 2627544481 |
| Fax Number: | 2627544487 |
| NPI Enumeration Date: | 08/23/2012 |
| NPI Last Update Date: | 08/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 96363-30 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |