Individual provider · Type 1 NPI

Mary Theresa Watson, WHCNP

Nurse Practitioner · Coon Rapids, MN

NPI number 1467463307 Active

Practice location

3960 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2569

Fax (763) 236-9250

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR-1189771-1 (MN)

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 1467463307

Mary Theresa Watson, WHCNP's National Provider Identifier is 1467463307, issued on Aug 9, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jul 8, 2007.