Individual
MELINDA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8815 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2722
(215) 247-7990
(215) 247-1683
Mailing address
8815 GERMANTOWN AVE, SUITE 31, PHILADELPHIA, PA 19118-2722
(215) 247-7990
(215) 247-1683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UP001376H
PA
Other
Enumeration date
10/16/2009
Last updated
08/18/2016
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