Individual
MRS. SHIRLEY ANN WATERHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ANP-C
Contact information
Practice address
1950 W 3RD ST, YUMA, AZ 85364-1812
(928) 366-1091
(928) 276-4481
Mailing address
8443 FORGET ME NOT ST, YUMA, AZ 85365-8666
(440) 541-8076
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
12242-NP
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
AP10160
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276777
—
AZ
01
—
AP10160
STATE MEDICAL LICENSE
AZ
Enumeration date
09/01/2010
Last updated
08/04/2022
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