Individual
MANDY LYNNE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
721 BETTER NOW PLZ, ADA, OK 74820-2279
(580) 272-0025
Mailing address
902 ARLINGTON CTR, ADA, OK 74820-2883
(580) 272-0025
(580) 272-6659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 0073536
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550021ZHJP
—
OK
Enumeration date
06/17/2016
Last updated
01/11/2018
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