Provider Demographics
NPI:1649877077
Name:WATTS, LEE DANIELLE (WHNP)
Entity type:Individual
Prefix:MRS
First Name:LEE
Middle Name:DANIELLE
Last Name:WATTS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-1720
Mailing Address - Country:US
Mailing Address - Phone:937-651-6901
Mailing Address - Fax:
Practice Address - Street 1:2152 E STATE ROUTE 29
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-9779
Practice Address - Country:US
Practice Address - Phone:865-766-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH026606363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health