Provider Demographics
NPI:1689557399
Name:WATSON, DASHIA ANESSA
Entity type:Individual
Prefix:
First Name:DASHIA
Middle Name:ANESSA
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 1:22 WENTWORTH TER APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02124-3518
Mailing Address - Country:US
Mailing Address - Phone:857-262-4300
Mailing Address - Fax:
Practice Address - Street 1:22 WENTWORTH TER APT 2
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02124-3518
Practice Address - Country:US
Practice Address - Phone:857-262-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty