National Provider Identifier

Carla Watson, LPN

Carla Watson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Brockport, NY and a listed phone number of (585) 857-1914.

NPI 1265205827Brockport, NYLicensed Practical Nurse

Profile Overview

NPI
1265205827
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 03, 2023
Last Updated
November 03, 2023

Practice Location

  • 3 Sweden Ln Apt 21
  • Brockport, NY 14420-2544

Phone: (585) 857-1914

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1265205827
Entity Type
Individual
Last Name
Watson
First Name
Carla
Credential
LPN
Mailing Street Address
3 Sweden Ln Apt 21
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420-2544
Mailing Country
US
Mailing Phone
(585) 857-1914
Practice Street Address
3 Sweden Ln Apt 21
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2544
Practice Country
US
Practice Phone
(585) 857-1914
Enumeration Date
November 03, 2023
Last Updated
November 03, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
November 03, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)