| Doctor Name: | MRS. NANCY JANE WATTS |
| NPI Number: | 1760496673 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | R36235 |
| Business Practice Address: | 12000 Stone Lake Dulce, NM - 87528 |
| Business Phone Number: | 5057593291 |
| Business Fax Number: | 5057597249 |
| Mailing Address: | 474 Great West Avenue, Pob 2009 PAGOSA SPRINGS |
| State: | CO |
| Postal Code: | 81147 |
| Phone Number: | 9702640990 |
| Fax Number: | 5057597294 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 05/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | R36235 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |