Basic Information
| Provider Information | |||||||||
| NPI: | 1821753179 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WATKINS | ||||||||
| FirstName: | KATIE | ||||||||
| MiddleName: | |||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5139 JOLLY ACRES RD | ||||||||
| Address2: | |||||||||
| City: | WHITE HALL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211618908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4437915284 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2200 GOOD HOPE RD | ||||||||
| Address2: | |||||||||
| City: | ENOLA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170251210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7179819000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2021 | ||||||||
| LastUpdateDate: | 05/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 176B00000X | Y | Other Service Providers | Midwife |
No ID Information.