Individual
CHANELL C. WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
229 N MAIN ST STE 207, SMYRNA, DE 19977-1192
(302) 378-8358
(302) 883-8395
Mailing address
229 N MAIN ST STE 207, SMYRNA, DE 19977-1192
(302) 378-8358
(302) 883-8395
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010734
DE
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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