Individual
CHRISTIANE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2917 INTERNATIONAL LN, MADISON, WI 53704-3135
(608) 245-3117
(608) 245-3890
Mailing address
2917 INTERNATIONAL LN, PO BOX 14017, MADISON, WI 53704-3135
(608) 245-3117
(608) 245-3890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5893-33
WI
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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