Provider Demographics
NPI:1053850263
Name:WATSON, ERIN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:N
Other - Last Name:KARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:930 BETHESDA DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-0815
Mailing Address - Country:US
Mailing Address - Phone:740-569-5737
Mailing Address - Fax:740-569-5716
Practice Address - Street 1:930 BETHESDA DR
Practice Address - Street 2:SUITE 4
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-0815
Practice Address - Country:US
Practice Address - Phone:740-569-5737
Practice Address - Fax:740-569-5716
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.133825.MEDS164W00000X
OHLPN.133825.164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse