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NPI Code Detail

MEDICARE: AMBER R WATKINS RN

MEDICARE:   AMBER R WATKINS  RN
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
1163WC0200XCritical Care Medicine Registered NurseRN178903AZ
2163WN1003XNutrition Support Registered NurseRN178903AZ

General Provider Information

NPI Number : 1396484721
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER R WATKINS RN
Provider Business Mailing Address
First Line : 748 N 66TH WAY
Second Line :
City : MESA
State : AZ
Zip : 85205-6847
Country : US
Telephone Number : 931-632-0535
Fax Number :
Provider Business Practice Location Address
First Line : 748 N 66TH WAY
Second Line :
City : MESA
State : AZ
Zip : 85205-6847
Country : US
Telephone Number : 931-632-0535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2022
Last Update Date : 06/02/2022

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