Provider Demographics
NPI:1922301159
Name:WATKINS, CRISTINA C (FNP)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:C
Last Name:WATKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335R PRAIRIE AVENUE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905
Mailing Address - Country:US
Mailing Address - Phone:401-444-4697
Mailing Address - Fax:
Practice Address - Street 1:335R PRAIRIE AVENUE
Practice Address - Street 2:SUITE 1A
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905
Practice Address - Country:US
Practice Address - Phone:401-444-4697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA727575163W00000X
RIRN52834163W00000X
CA19829363LF0000X
RINPP37853363LP2300X
RIAPRN01019363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care