Individual
KARRIE ANN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-9100
Mailing address
1863 THOMAS AVE, SAN DIEGO, CA 92109-4518
(813) 389-1903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016434
CA
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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