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General NPI Number Information
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NPI Number | 1992426787
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Entity Type | Organization
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Legal Business Name | WATSON PSYCHIATRY LLC
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 5340 S QUEBEC ST STE 310S
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1906
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Country | US
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Telephone | 720-773-4771
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Fax | 720-414-1530
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Provider Business Mailing Address
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Address Line | 5340 S QUEBEC ST STE 310S
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1906
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Country | US
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Telephone | 720-773-4771
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Fax | 720-414-1530
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Authorized Official
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Title or Position | PHMNP-BC
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Name | NICOLE AMY WATSON
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Credential | PMHNP-BC
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Telephone | 720-773-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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