# DR. BRENDA LORRAINE WATERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366477960
- **Gender:** F
- **Credential:** M.D., B.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0101X | Anatomic Pathology Physician | 042-0006733 | VT | — |
| 207ZP0213X | Pediatric Pathology Physician | 042-0006733 | VT | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009551 | — | VT |
| 05 | — | 01166976 | — | NY |