MRS. BEVERLY ANN WATERS CRNP NPI 1548302607

NPI Information

NPI: 1548302607
Provider Name: MRS. BEVERLY ANN WATERS, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN PRIMARY PEDIATR
ERIE AVENUE AT FRONT STREET
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 427-5936
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MRS. Beverly Ann Waters, CRNP is a pediatrics nurse practitioner in Philadelphia, PA. MRS. Beverly Ann Waters, CRNP NPI is 1548302607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN PRIMARY PEDIATR
ERIE AVENUE AT FRONT STREET
PHILADELPHIA, PA
ZIP 19134
Phone: (215) 427-5936
Fax: (215) 427-6501

The enumeration date for this NPI number is 2/13/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	VP001807D	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01469539	MEDICAID	PENNSYLVANIA
2	S94145	MEDICARE UPIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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