DUSTIN C WATTENBERGER — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, KY)
DUSTIN C WATTENBERGER — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, KY) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DUSTIN C WATTENBERGER; Type: Individual; NPI: 1003231432.
| Name | DUSTIN C WATTENBERGER |
|---|---|
| Type | Individual |
| NPI | 1003231432 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | KY |
| Enrollment ID | I20140312001711 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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