Watts, Myra

Watts, Myra is an individual health care provider with primary practice located at 4848 Fort Henry Dr , Kingsport TN 37663-3347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Watts, Myra can be contacted via phone (423) 239-5141.

Contact Information

Primary practice address
4848 Fort Henry Dr Kingsport TN 37663-3347
Phone: (423) 239-5141
Fax: (423) 239-4869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6294 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024126669 Virginia

Profile Details

NPI number 1417959727
LBN Legal business name Watts, Myra
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 14th, 2015 - about 9 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 1417959727 NPPES
Virginia MEDICAID 007785976
Virginia MEDICAID 3345605

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