Provider Demographics
NPI:1154026003
Name:WATTS, ZARI SUBIRA NKOSAZANA
Entity type:Individual
Prefix:
First Name:ZARI
Middle Name:SUBIRA NKOSAZANA
Last Name:WATTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8616 2ND AVE APT 506
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3843
Mailing Address - Country:US
Mailing Address - Phone:312-806-6026
Mailing Address - Fax:
Practice Address - Street 1:720 WESTVIEW DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-1458
Practice Address - Country:US
Practice Address - Phone:404-756-1256
Practice Address - Fax:404-752-1191
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program