MARY ALICE WATTS FNP-BC NPI 1801823158

NPI Information

NPI: 1801823158
Provider Name: MARY ALICE WATTS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3360 HIGHWAY 411 N
ENGLEWOOD, TN
ZIP 37329
Phone: (423) 887-5131
Get Directions

Mary Alice Watts, FNP-BC is a family nurse practitioner in Englewood, TN with 19 years of experience. Mary Alice Watts, FNP-BC NPI is 1801823158. 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:

3360 HIGHWAY 411 N
ENGLEWOOD, TN
ZIP 37329-276
Phone: (423) 887-5131
Fax: (423) 887-5917

The NPI 1801823158 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 5/28/2014.

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	363L00000X	Nurse Practitioner		11709	TENNESSEE	No
2	163W00000X	Registered Nurse		RN135274	TENNESSEE	No
3	363LF0000X	Nurse Practitioner	Family	APN11709	TENNESSEE	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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