Individual
LINDSAY MARIE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
419 S L ST, TACOMA, WA 98405-3799
(253) 403-8410
Mailing address
419 S L ST, TACOMA, WA 98405-3799
(253) 403-8410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60456893
WA
363LA2200X
Adult Health Nurse Practitioner
AP 60456893
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
AP60456893
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093127011
—
WA
Enumeration date
05/26/2014
Last updated
11/02/2015
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