Individual
MS. MARGARET M. WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
63 S MAIN ST, MANSFIELD, PA 16933-1501
(570) 662-7766
(570) 662-0348
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP003379B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02657165
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040009
PA MEDCIARE GROUP
PA
01
—
P00319068
RR MEDICARE PIN
PA
Enumeration date
02/27/2006
Last updated
09/16/2011
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