MS. STACEY L WATERS CRNP NPI 1720408677

NPI Information

MS. Stacey L Waters, CRNP is an acute care nurse practitioner in Montgomery, AL with 11 years of experience. MS. Stacey L Waters, CRNP NPI is 1720408677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

440 TAYLOR RD
SUITE 3380
MONTGOMERY, AL
ZIP 36117-588
Phone: (334) 361-4334

The NPI 1720408677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2014 and was last updated on 4/18/2014.

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:

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