Individual
MS. BONNIE JEAN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8000
Mailing address
420 KNIGHTSBRIDGE RD, LOUISVILLE, KY 40206-1410
(502) 689-8346
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1128160
KY
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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