Individual provider · Type 1 NPI
Theresa Watson
Administrator Registered Nurse · Louisville, KY
NPI number
1124159991
Active
Practice location
914 E Broadway
Louisville, KY 40204-1037
Fax (502) 589-8771
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 1032048 (KY) |
Administrator Registered Nurse: Definition to come...
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About NPI 1124159991
Theresa Watson's National Provider Identifier is 1124159991, issued on Mar 7, 2007. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.