DEITRA ANN WATSON NPI 1437345402

NPI Information

  • NPI: 1437345402
  • Provider Name: DEITRA ANN WATSON
  • Classification: Prosthetist - 224P00000X
  • Entity Type: Individual
  • Address: 1011 18TH ST N
    2B
    FARGO, ND
    ZIP 58102
  • Phone: (701) 212-9200

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NPI Details

Deitra Ann Watson is a prosthetist in Fargo, ND. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Deitra Ann Watson NPI is 1437345402. 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:

1011 18TH ST N
2B
FARGO, ND
ZIP 58102-238
Phone: (701) 212-9200

The enumeration date for this NPI number is 9/24/2007 and was last updated on 12/20/2007.

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
1225700000XMassage TherapistILLINOISNo
2224P00000XProsthetistILLINOISYes

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: 11/21/2025

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