Individual provider · Type 1 NPI
Larissa Diane Watson, FNP-BC
Nurse Practitioner · Indianapolis, IN
Practice location
5940 Decatur Blvd
Indianapolis, IN 46241-9579
Fax (317) 856-5122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71005553A (IN) |
| Family Nurse Practitioner | 363LF0000X | 209023916 (IL) |
| Adult Health Nurse Practitioner | 363LA2200X | 209023916 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 28208703A (IN) |
| Nurse Practitioner Primary | 363L00000X | 71005553A (IN) |
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 1821479908
Larissa Diane Watson, FNP-BC's National Provider Identifier is 1821479908, issued on Jun 15, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 14, 2026.