| Lori Ann Watt, FNP | |
|
3002 State Hwy K, Ofallon, MO 63368 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Lori Ann Watt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3002 State Hwy K, Ofallon, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962718437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209008310 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2018013353 (Missouri) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Ann Watt, FNP 3002 State Hwy K, Ofallon, MO 63368 Ph: (866) 389-2727 | Lori Ann Watt, FNP 3002 State Hwy K, Ofallon, MO 63368 Ph: (866) 389-2727 |
Tara Lynn Barnes-cherry, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2630 State Highway K, Ofallon, MO 63368 Phone: 636-980-5300 Fax: 636-980-5344 | |
Mary Withoelter, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2630 State Highway K, Ofallon, MO 63368 Phone: 636-980-5300 Fax: 636-980-5344 |