Individual
CRISTY L WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1759 E VILLA DR STE 313, COTTONWOOD, AZ 86326-5997
(928) 639-5095
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8601
AZ
363A00000X
Physician Assistant
PA0571
NV
363A00000X
Physician Assistant
PA2436
NV
Other
Enumeration date
01/18/2012
Last updated
08/12/2025
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