Provider Demographics
NPI:1265761266
Name:WATSON, MARCIA D (APRN)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:D
Last Name:WATSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:D
Other - Last Name:REES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3700 W 83RD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5120
Mailing Address - Country:US
Mailing Address - Phone:913-341-0201
Mailing Address - Fax:913-381-8304
Practice Address - Street 1:3700 W 83RD ST STE 202
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5120
Practice Address - Country:US
Practice Address - Phone:913-341-0201
Practice Address - Fax:913-381-8304
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5375030082363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner