IndividualActive
Kellie Watson
NPI 1992206742 · Acute Care Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1992206742
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 57868 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6140 W Curtisian Ave
Boise, ID 83704-8880
Phone: (208) 302-0130
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2018-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.