MEDICARE: MS. ELIZABETH ROSE WATSON-ORMOND CRNM

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	367A00000X	Advanced Practice Midwife	CNM18	NC

General Provider Information

NPI Number	:	1205495199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH ROSE WATSON-ORMOND CRNM

Provider Business Mailing Address
First Line	:	1520 MOORES CHAPEL CEMETERY RD
Second Line	:
City	:	GRAHAM
State	:	NC
Zip	:	27253-9199
Country	:	US
Telephone Number	:	252-714-2592
Fax Number	:	336-948-1452

Provider Business Practice Location Address
First Line	:	1520 MOORES CHAPEL CEMETERY RD
Second Line	:
City	:	GRAHAM
State	:	NC
Zip	:	27253-9199
Country	:	US
Telephone Number	:	252-714-2592
Fax Number	:	336-948-1452

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

Provider Enumeration Date	:	06/13/2019
Last Update Date	:	03/27/2024

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