MEDICARE: MARSHAY NICOLE WATSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	3747P1801X	Personal Care Attendant
3	172A00000X	Driver

General Provider Information

NPI Number	:	1669289500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHAY NICOLE WATSON

Provider Business Mailing Address
First Line	:	1963 NORTHCUT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-6027
Country	:	US
Telephone Number	:	513-884-5463
Fax Number	:

Provider Business Practice Location Address
First Line	:	1963 NORTHCUT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-6027
Country	:	US
Telephone Number	:	513-884-5463
Fax Number	:

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

Provider Enumeration Date	:	12/13/2024
Last Update Date	:	12/13/2024

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Directions to “ MARSHAY NICOLE WATSON ” Practice Location

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