person
Lisa Doherty Watt, PNP
Pediatric Nurse Practitioner in Boston, Massachusetts
NPI 1477689156

Lisa Doherty Watt is a Pediatric Nurse Practitioner based in Jamaica Plain, MA and is specialized in Pediatrics. Lisa Doherty Watt practices in Boston, MA and has the professional credentials of PNP. The NPI Number for Lisa Doherty Watt is 1477689156 and holds a License No. 231486 (Massachusetts).

The current practice location address for Lisa Doherty Watt is 55 Fruit St, Boston, MA and can be reached out via phone at 617-643-1097.

Location: 55 Fruit St, Boston, MA, 02130-3801
person
Provider Profile Details
NPI Number
1477689156
Provider Name
Lisa Doherty Watt
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 02130-3801
Phone Number
617-643-1097
Fax Number
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-643-1097
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
State
Zip
02114-2621
Phone Number
617-643-1097
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
231486 (Massachusetts)
Definition
Definition to come...
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