MRS. ROLANDA WATSON RN NPI 1215403373

NPI Information

NPI: 1215403373
Provider Name: MRS. ROLANDA WATSON, RN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
1900 W POLK ST
CHICAGO, IL
ZIP 60612
Phone: (312) 864-7569
Get Directions

MRS. Rolanda Watson, RN is a case management registered nurse in Chicago, IL. MRS. Rolanda Watson, RN NPI is 1215403373. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 W POLK ST
CHICAGO, IL
ZIP 60612-723
Phone: (312) 864-7569
Fax: (312) 864-9009

The enumeration date for this NPI number is 10/16/2018 and was last updated on 10/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	041249746	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1417195876	MEDICAID	ILLINOIS
2	1821305434	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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