Provider Demographics
NPI:1821230657
Name:WATTS, CONSTANCE B (RXN, NP)
Entity Type:Individual
Prefix:MRS
First Name:CONSTANCE
Middle Name:B
Last Name:WATTS
Suffix:
Gender:F
Credentials:RXN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 ULSTER WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7179
Mailing Address - Country:US
Mailing Address - Phone:303-341-1444
Mailing Address - Fax:
Practice Address - Street 1:4545 E 9TH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3901
Practice Address - Country:US
Practice Address - Phone:303-322-5595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN46907163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory