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General NPI Number Information
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NPI Number | 1336115807
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Entity Type | Individual
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Provider Name | NANETTE L WATSON NP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 317 E WARWICK DR STE B
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City | ALMA
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State | MI
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Zip | 48801-1085
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Country | US
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Telephone | 989-463-2779
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Fax | 989-463-2064
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Provider Business Mailing Address
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Address Line | 317 E WARWICK DR STE B
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City | ALMA
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State | MI
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Zip | 48801-1085
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Country | US
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Telephone | 989-463-2779
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Fax | 989-463-2064
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704207294
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704207294
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License Number State | MI
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