Watkins, Theresa Marie

Watkins, Theresa Marie is an individual health care provider with primary practice located at 16140 Us Highway 441 , Eustis FL 32726-6508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Watkins, Theresa Marie can be contacted via phone (352) 360-6548.

Contact Information

Primary practice address
16140 Us Highway 441 Eustis FL 32726-6508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP909232 Florida

Profile Details

NPI number 1346214392
LBN Legal business name Watkins, Theresa Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 16th, 2010 - about 14 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 1346214392 NPPES
Florida MEDICAID 305603100

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