Individual provider · Type 1 NPI

Krystyna Watson

Licensed Practical Nurse · Grand Rapids, MI

NPI number 1659008118 Active

Practice location

5300 Patterson Ave SE Ste 125
Grand Rapids, MI 49512-9627

Mailing address

1608 Niles Buchanan Rd
Niles, MI 49120-3503

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703125798 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1659008118

Krystyna Watson's National Provider Identifier is 1659008118, issued on Aug 4, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 4, 2022.