Individual provider · Type 1 NPI

Kellie Watson

Acute Care Nurse Practitioner · Boise, ID

NPI number 1992206742 Active

Practice location

6140 W Curtisian Ave
Boise, ID 83704-8880

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X57868 (ID)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1992206742

Kellie Watson's National Provider Identifier is 1992206742, issued on Feb 27, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Boise, ID. The record was last updated on Feb 27, 2018.