Individual provider · Type 1 NPI

Angela Laverne Watkins

Nurse Practitioner · Southfield, MI

NPI number 1295371649 Active

Practice location

22250 Providence Dr Ste 406
Southfield, MI 48075-6212

Fax (248) 557-3655

Mailing address

17030 Carriage Way
Northville, MI 48168-6602

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704222141 (MI)

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 1295371649

Angela Laverne Watkins's National Provider Identifier is 1295371649, issued on Nov 20, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southfield, MI. The record was last updated on Nov 20, 2019.