Healthcare Provider Details

I. General information

NPI: 1679482400
Provider Name (Legal Business Name): EMERALD M WATSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 WASHINGTON AVE APT 101
NEW ORLEANS LA
70113-2650
US

IV. Provider business mailing address

2316 WASHINGTON AVE APT 101 101
NEW ORLEANS LA
70113-2650
US

V. Phone/Fax

Practice location:
  • Phone: 504-531-2624
  • Fax:
Mailing address:
  • Phone: 504-531-2624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License NumberMD1001
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: