MEDICARE: KIMBERLY ANN WATSON ARNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	26NJ00289300	NJ
2	363LF0000X	Family Nurse Practitioner	ARNP9417498	FL
3	363LF0000X	Family Nurse Practitioner	350192	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013235399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN WATSON ARNP-C

Provider Business Mailing Address
First Line	:	1669 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3136
Country	:	US
Telephone Number	:	305-532-7909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1669 COLLINS AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-3136
Country	:	US
Telephone Number	:	305-532-7909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	06/25/2024

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