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TRENTON WATSON NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215475306

Individual Registrant:
 TRENTON  WATSON NP
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: --

Contact information for business:
533 SHADOW WOOD DR  SMITHS STATION, AL 36877-4836 US
Tel: 850-814-4107  Fax: --

Registration Information:
NPI: 1215475306
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GA244202
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-107743

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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