Individual provider · Type 1 NPI

Lisa Ann Watkins, CPNP

Pediatric Nurse Practitioner · Grand Rapids, MI

NPI number 1669807970 Active

Practice location

1545 68th St SE Ste 100
Grand Rapids, MI 49508-7896

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704265502 (MI)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1669807970

Lisa Ann Watkins, CPNP's National Provider Identifier is 1669807970, issued on Sep 5, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 19, 2021.