NPI | 1770211658 |
---|---|
Professional Name | DOUG L WATSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71013479A) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 1030062854) |
Enumeration Date | 2022-08-09 |
Last Update Date | 2025-01-22 |