SHANE MARK WATTS

LOUISVILLE, KY
NPI1285385005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3017240)
Enumeration Date2022-01-13
Last Update Date2022-01-13
Business Address
SHANE MARK WATTS APRN, PMHNP-BC
801 BARRET AVE STE 110
LOUISVILLE, KY 40204-1732
Phone number: 502-792-0275
Mailing Address
SHANE MARK WATTS APRN, PMHNP-BC
130 LAKELYNN AVE
SHELBYVILLE, KY 40065-7403
Phone number: 502-689-9994
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