Provider Demographics
NPI:1740968031
Name:WATKINS, FELICIA R
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:R
Last Name:WATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 GRAHAM RD STE A2
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2960
Mailing Address - Country:US
Mailing Address - Phone:234-425-0061
Mailing Address - Fax:
Practice Address - Street 1:1060 GRAHAM RD STE A2
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44224-2960
Practice Address - Country:US
Practice Address - Phone:234-425-0061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care