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NPI Code Detail

MEDICARE: AMBER WATSON

MEDICARE: AMBER WATSON
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
1175T00000XPeer Specialist25-9174SUDWV

General Provider Information

NPI Number : 1881558187
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER WATSON
Provider Business Mailing Address
First Line : 20 SCOTT AVE STE 301
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-8857
Country : US
Telephone Number : 304-241-4000
Fax Number :
Provider Business Practice Location Address
First Line : 20 SCOTT AVE STE 301
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-8857
Country : US
Telephone Number : 304-241-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ AMBER WATSON ” Practice Location

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