Watters, Kelly
Watters, Kelly is an individual health care provider with primary practice located at 1501 W Sunset Rd , Henderson NV 89014-6636. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Watters, Kelly can be contacted via phone (725) 269-7001.Contact Information
Primary practice address
1501 W Sunset Rd
Henderson NV 89014-6636
Phone: (725) 269-7001
Fax: (725) 269-7003
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN002043 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN002043 | Nevada |
Profile Details
NPI number | 1942214408 |
---|---|
LBN Legal business name | Watters, Kelly |
Credentials | DNP, ANP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2006 |
Last updated | Jun 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942214408 | NPPES |
Nevada | MEDICAID | 1942214408 |
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