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Lisa Ann Watkins, CPNP
Pediatric Nurse Practitioner in Grand Rapids, Michigan
NPI 1669807970

Lisa Ann Watkins is a Pediatric Nurse Practitioner based in Grand Rapids, MI and is specialized in Pediatrics. Lisa Ann Watkins practices in Grand Rapids, MI and has the professional credentials of CPNP. The NPI Number for Lisa Ann Watkins is 1669807970 and holds a License No. 4704265502 (Michigan).

The current practice location address for Lisa Ann Watkins is 1545 68Th St Se Ste 100, Grand Rapids, MI and can be reached out via phone at 616-267-7881.

Location: 1545 68Th St Se Ste 100, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669807970
Provider Name
Lisa Ann Watkins
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1545 68Th St Se Ste 100, Grand Rapids, MI, 49503-2560
Phone Number
616-267-7881
Fax Number
Provider Enumeration Date
09/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1545 68Th St Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49508-7896
Phone Number
616-267-7881
Fax Number
person
Provider Business Mailing Address Details
Address
1545 68Th St Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49508-7896
Phone Number
616-267-7881
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704265502 (Michigan)
Definition
Definition to come...
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