MCKENZIE S WATTS RN NPI 1417626177

NPI Information

NPI: 1417626177
Provider Name: MCKENZIE S WATTS, RN
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

CLIA Number: 38D2269809

Address:
560 22ND ST
SPRINGFIELD, OR
ZIP 97477
Phone: (541) 653-7646
Get Directions

Mckenzie S Watts, RN is a medical-surgical registered nurse in Springfield, OR. Mckenzie S Watts, RN NPI is 1417626177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

560 22ND ST
SPRINGFIELD, OR
ZIP 97477-408
Phone: (541) 653-7646

The CLIA number assigned to this NPI record is 38D2269809 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 9/7/2021.

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	163WM0705X	Registered Nurse	Medical-Surgical	201605291	OREGON	No
2	163WM0705X	Registered Nurse	Medical-Surgical	201605291RN	OREGON	Yes

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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