Provider Demographics
NPI:1356548085
Name:KAREN A. WATTS, N.P., PLC
Entity type:Organization
Organization Name:KAREN A. WATTS, N.P., PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-503-6655
Mailing Address - Street 1:340 W 32ND ST # 378
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8128
Mailing Address - Country:US
Mailing Address - Phone:928-341-0058
Mailing Address - Fax:928-341-0138
Practice Address - Street 1:3970 W 24TH ST STE 214
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-9263
Practice Address - Country:US
Practice Address - Phone:928-341-0058
Practice Address - Fax:928-341-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
AZRN059345261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care