Individual provider · Type 1 NPI

Marygrace Fattaleh Watts, APRN-CNP, FNP-BC

Nurse Practitioner · Huntington, WV

NPI number 1265306203 Active

Practice location

1115 20th St
Huntington, WV 25703-2071

Fax (304) 399-4126

Mailing address

1115 20th St Ste 101
Huntington, WV 25703-2071

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X123637 (WV)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265306203

Marygrace Fattaleh Watts, APRN-CNP, FNP-BC's National Provider Identifier is 1265306203, issued on Oct 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Huntington, WV. The record was last updated on Jan 12, 2026.