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Individual

WILLIE MAE WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 ST LUKES BLVD STE 200, EASTON, PA 18045-5670
(484) 526-7246
(866) 291-6192
Mailing address
1700 ST LUKES BLVD STE 200, EASTON, PA 18045-5670
(484) 526-7246
(866) 291-6192

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021320
PA
363LA2200X
Adult Health Nurse Practitioner
26NJ01285800
NJ
363LA2200X
Adult Health Nurse Practitioner
SP021320
PA

Other

Enumeration date
12/23/2019
Last updated
03/05/2026
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