| Doctor Name: | CASEY WATTS |
| NPI Number: | 1760892202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN128852 |
| Business Practice Address: | 13035 Bridlewood Dr Greenwell Springs, LA - 707395807 |
| Business Phone Number: | 2252410923 |
| Business Fax Number: | |
| Mailing Address: | 13035 Bridlewood Dr, GREENWELL SPRINGS |
| State: | LA |
| Postal Code: | 707395807 |
| Phone Number: | 2252410923 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2014 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN128852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |