Individual
HALLIE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
Mailing address
3000 WATERCOVE RD, MIDLOTHIAN, VA 23112-3982
(804) 744-0200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187869
VA
Other
Enumeration date
09/21/2023
Last updated
02/18/2024
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