Individual
AMANDA ANNE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
455 EMERALD AVE, LAKE WALES, FL 33853-4716
(863) 687-1472
(863) 687-1494
Mailing address
2430 WILDWOOD CT, WINTER HAVEN, FL 33884-3000
(863) 837-8127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11008044
FL
Other
Enumeration date
07/01/2020
Last updated
04/25/2024
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