Individual
MRS. RACHEL WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP
Contact information
Practice address
84 BROAD ST STE 2, GLENS FALLS, NY 12801-4381
(518) 636-5284
Mailing address
462 BROADWAY, SARATOGA SPRINGS, NY 12866-2212
(915) 204-2579
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404177
NY
Other
Enumeration date
05/16/2022
Last updated
08/22/2022
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