Watson, Mary Theresa

Watson, Mary Theresa is an individual health care provider with primary practice located at 3960 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2569. 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, Mary Theresa can be contacted via phone (763) 236-9236.

Contact Information

Primary practice address
3960 Coon Rapids Blvd Nw Coon Rapids MN 55433-2569
Phone: (763) 236-9236
Fax: (763) 236-9250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R-1189771-1 Minnesota

Profile Details

NPI number 1467463307
LBN Legal business name Watson, Mary Theresa
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers