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TRENTON WATSON NP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1215475306
Individual Registrant: TRENTON WATSON NP
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
533 SHADOW WOOD DR SMITHS STATION, AL 36877-4836 US
Tel: 850-814-4107 Fax: --
Tel: 850-814-4107 Fax: --
Contact information for business:
533 SHADOW WOOD DR SMITHS STATION, AL 36877-4836 US
Tel: 850-814-4107 Fax: --
Tel: 850-814-4107 Fax: --
Registration Information:
NPI: 1215475306
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | 244202 |
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AL | 1-107743 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
