Individual
NICOLE MARIE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1515
(765) 751-5087
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007188A
IN
363LG0600X
Gerontology Nurse Practitioner
71007188A
IN
Other
Enumeration date
07/07/2017
Last updated
10/16/2025
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