Provider Demographics
NPI:1467615427
Name:WATT, WINDY LEE (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:WINDY
Middle Name:LEE
Last Name:WATT
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3285 W COUNTY ROAD 1000 N
Mailing Address - Street 2:
Mailing Address - City:ROACHDALE
Mailing Address - State:IN
Mailing Address - Zip Code:46172-9213
Mailing Address - Country:US
Mailing Address - Phone:765-720-1609
Mailing Address - Fax:
Practice Address - Street 1:3387 S US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4188
Practice Address - Country:US
Practice Address - Phone:812-232-5532
Practice Address - Fax:812-232-2572
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71002641A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily