Watson, Cecelia

Watson, Cecelia is an individual health care provider with primary practice located at 1000 Greg Kruschek Ave , Nome AK 99762-0966. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Watson, Cecelia can be contacted via phone (907) 443-3311.

Contact Information

Primary practice address
1000 Greg Kruschek Ave Nome AK 99762-0966
Phone: (907) 443-3311
Fax: (907) 443-4594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 817 Alaska

Profile Details

NPI number 1063485613
LBN Legal business name Watson, Cecelia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063485613 NPPES
Alaska MEDICAID NP0817

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