Individual
CARISSA WATERS
Active
Individual
CARISSA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
209015912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209015912
APN LICENSE
IL
Enumeration date
05/15/2017
Last updated
05/15/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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