Provider Demographics
NPI:1588474043
Name:WATSON, LEAH RANEE
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:RANEE
Last Name:WATSON
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 1:455 MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-1425
Mailing Address - Country:US
Mailing Address - Phone:330-795-4924
Mailing Address - Fax:
Practice Address - Street 1:455 MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-1425
Practice Address - Country:US
Practice Address - Phone:330-795-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health