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Contact Information

NICOLE L WATSON, PA-C, MPAS
620 SHADOW LN
LAS VEGAS, NV89106-4119
 Phone: 023-884-0007
 Fax: 702-476-2040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE L WATSON · (Female)

NPI Number 1194159350
Status Active
Credentials PA-C, MPAS
Entity Individual
Enumeration date 08/23/2013
Last updated 04/07/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CA License # PA23154
  • NV License # 1628
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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