Provider Demographics
NPI:1750550349
Name:WATTS, TAMMY ANN (RN, NP)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:ANN
Last Name:WATTS
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Gender:F
Credentials:RN, NP
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Mailing Address - Street 1:5918 STONERIDGE MALL RD
Mailing Address - Street 2:SAFEWAY HEALTH CENTER
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-3229
Mailing Address - Country:US
Mailing Address - Phone:925-965-2357
Mailing Address - Fax:925-965-2361
Practice Address - Street 1:5858 STONERIDGE MALL RD
Practice Address - Street 2:SAFEWAY HEALTH CENTER
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3231
Practice Address - Country:US
Practice Address - Phone:925-965-2357
Practice Address - Fax:925-965-2361
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
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Provider Licenses
StateLicense IDTaxonomies
CARN427886, NPF5672363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health