Provider Demographics
NPI:1902599954
Name:WATKINS, ALBERTA
Entity Type:Individual
Prefix:MS
First Name:ALBERTA
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALBERTA
Other - Middle Name:
Other - Last Name:HOLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3122 EAST ROESER ROAD APT#1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040
Mailing Address - Country:US
Mailing Address - Phone:602-756-5564
Mailing Address - Fax:
Practice Address - Street 1:45657 WEST MORNING VIEW LANE
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139
Practice Address - Country:US
Practice Address - Phone:602-756-5564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health