Individual
DR. NANCY ELIZABETH WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15031 RINALDI ST, MISSION HILLS, CA 91345-1207
(818) 639-4332
(818) 639-4333
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2020-0916
NM
207RI0200X
Infectious Disease Physician
A42907
CA
208M00000X
Hospitalist Physician
Primary
MD2020-0916
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A429070
—
CA
Enumeration date
07/18/2006
Last updated
06/18/2025
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