Provider Demographics
NPI:1225210479
Name:WATWOOD, ANN (NMD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:WATWOOD
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6638 E BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4432
Mailing Address - Country:US
Mailing Address - Phone:480-907-9541
Mailing Address - Fax:480-882-3293
Practice Address - Street 1:6638 E BASELINE RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4432
Practice Address - Country:US
Practice Address - Phone:480-907-9541
Practice Address - Fax:480-882-3293
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07-1026175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath