Individual
AILEEN M WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
350 S KENDALL ST, LAKEWOOD, CO 80226
(303) 596-8993
Mailing address
350 S KENDALL ST, LAKEWOOD, CO 80226-3403
(303) 596-8993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003058
CO
363L00000X
Nurse Practitioner
95412
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018159
KAISER COMMERCIAL NUMBER
CO
05
—
11556269
—
CO
Enumeration date
01/18/2007
Last updated
11/21/2019
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