Provider Demographics
NPI:1902143159
Name:WATSON, ANNIE GARMAI (APN)
Entity Type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:GARMAI
Last Name:WATSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07885-1009
Mailing Address - Country:US
Mailing Address - Phone:973-537-7207
Mailing Address - Fax:
Practice Address - Street 1:2 BIRCH LN
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:NJ
Practice Address - Zip Code:07885-1009
Practice Address - Country:US
Practice Address - Phone:973-537-7207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00408000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily