ELLY MARIE WATSON

BOISE, ID
NPI1134013956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: ID  5771963)
Additional Taxonomies163WX0003X Registered Nurse Obstetric, Inpatient
(Licence: ID  46698)
Enumeration Date2025-06-05
Last Update Date2025-07-28
Business Address
ELLY MARIE WATSON CNM
1072 N LIBERTY ST STE 100
BOISE, ID 83704-8708
Phone number: 208-302-1200
Mailing Address
ELLY MARIE WATSON CNM
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-9342