Individual
REBECCA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 OLD CORNWALLIS RD, DURHAM, NC 27713-1869
(844) 932-5700
Mailing address
344 CAPPS BRIDGE RD, PRINCETON, NC 27569-8821
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5011649
NC
Other
Enumeration date
04/03/2019
Last updated
04/16/2019
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