Watson, Ellen C

Watson, Ellen C is an individual health care provider with primary practice located at 32 Malletts Bay Ave Ste B , Winooski VT 05404-1960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Watson, Ellen C can be contacted via phone (802) 655-4422.

Contact Information

Primary practice address
32 Malletts Bay Ave Ste B Winooski VT 05404-1960
Phone: (802) 655-4422
Fax: (802) 861-2678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101023489 Vermont

Profile Details

NPI number 1851331508
LBN Legal business name Watson, Ellen C
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 10th, 2014 - about 11 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 1851331508 NPPES
Vermont Other 69295 VERMONT MANAGED CARE
Vermont Other 69295 VERMONT MANAGED CARE
Vermont MEDICAID 1012575 VERMONT MANAGED CARE
Vermont Other 0023489 VERMONT MANAGED CARE
Vermont Other 389625 VERMONT MANAGED CARE

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