Whalio Doctors

NPI 1407045305

Patrina Letise Watts, LPN

Practitioner Licensed Practical Nurse St Louis, MO

Practice location

Address
5471 Dr Martin Luther King Dr, St Louis, MO 63112-4265
Phone
(314) 367-5820
Fax
(314) 371-7001

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 052930 (MO)

Registry record

NPI
1407045305
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Oct 2007
Record last updated
17 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.