IndividualActive
Alta Watkins, PA
NPI 1073625513 · Physician Assistant · Watertown, NY
Provider details
- NPI number
- 1073625513
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 006163 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
513 Washington St
Suite 1
Watertown, NY 13601-4001
Phone: (315) 788-2211
Fax: (315) 788-0956
Approximate (ZIP-level) locationGet directions
Mailing address
513 Washington St
Watertown, NY 13601-4001
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.