Individual provider · Type 1 NPI
Lisa Doherty Watt, PNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1477689156
Active
Practice location
55 Fruit St, Dacc Clinics 313 Massachusetts General Hospital
Boston, MA 02114-2621
Mailing address
27 Woodman St, #2
Jamaica Plain, MA 02130-3801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 231486 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477689156
Lisa Doherty Watt, PNP's National Provider Identifier is 1477689156, issued on Feb 26, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.