National Provider Identifier
Malissa Watson
Malissa Watson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Spencer, NY and a listed phone number of (607) 279-7011.
Profile Overview
- NPI
- 1821645789
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 23, 2019
- Last Updated
- August 31, 2022
Practice Location
- 80 Howell RD
- Spencer, NY 14883-9589
Phone: (607) 279-7011
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1821645789
- Entity Type
- Individual
- Last Name
- Watson
- First Name
- Malissa
- Mailing Street Address
- 80 Howell RD
- Mailing City
- Spencer
- Mailing State
- NY
- Mailing ZIP Code
- 14883-9589
- Mailing Country
- US
- Practice Street Address
- 80 Howell RD
- Practice City
- Spencer
- Practice State
- NY
- Practice ZIP Code
- 14883-9589
- Practice Country
- US
- Practice Phone
- (607) 279-7011
- Enumeration Date
- August 23, 2019
- Last Updated
- August 31, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 31, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)