Provider Demographics
NPI:1568258143
Name:WATSON, AMBER LYNN
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:LYNN
Last Name:WATSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7421 YARROW RUN RD
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-7584
Mailing Address - Country:US
Mailing Address - Phone:509-551-6613
Mailing Address - Fax:
Practice Address - Street 1:7421 YARROW RUN RD
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-7584
Practice Address - Country:US
Practice Address - Phone:509-551-6613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator