# MS. KATHLEEN ANNE WATERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295028959
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 4447 | SC | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 4447 | SC | — |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 04/09/2025