Patrina Letise Watts in St Louis - Licensed Practical Nurse

Patrina Letise Watts - NPI 1407045305

Patrina Letise Watts is a Licensed Practical Nurse in St Louis, Missouri. Patrina Letise Watts practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Patrina Letise Watts is 1407045305. The last update date is 2007-10-17.

Patrina Letise Watts's current location address is 5471 Dr Martin Luther King Dr, St Louis, Missouri. You can contact this provider via phone number 3143675820 and fax number 3143717001. The mailing address for Patrina Letise Watts is 5471 Dr Martin Luther King Dr, St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrina Letise Watts
Address 5471 Dr Martin Luther King Dr, St Louis, Missouri
Phone Number 3143675820
Fax Number 3143717001
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1407045305
Provider Enumeration Date 2007-10-17
Last Updated Date 2007-10-17

Provider Mailing Address Detail

Address 5471 Dr Martin Luther King Dr
City St Louis
State Missouri (MO)
Post Code 631124265
Phone Number 3143675820
Fax Number 3143717001

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 52930
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Patrina Letise Watts

What is the unique provider identifier assigned to Patrina Letise Watts?

The Patrina Letise Watts has been issued the NPI (National Provider Identifier) 1407045305 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Patrina Letise Watts is physically located?

The Patrina Letise Watts is physically situated at the following address: 5471 Dr Martin Luther King Dr, St Louis, MO, 631124265.

What is the Patrina Letise Watts's area of specialization and corresponding taxonomy classification?

The Patrina Letise Watts's specialty field is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1407045305 assigned to Patrina Letise Watts?

The Patrina Letise Watts was issued its 1407045305 on 2007-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Patrina Letise Watts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Patrina Letise Watts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-17.

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