Individual
MONIQUE MARIE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 OAKESDALE AVE SW STE 104, RENTON, WA 98057-5226
(866) 951-0183
(425) 228-4540
Mailing address
600 OAKESDALE AVE SW STE 104, RENTON, WA 98057-5226
(866) 951-0183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9317901
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61030812
WA
363LP2300X
Primary Care Nurse Practitioner
ARNP 9317901
FL
Other
Enumeration date
02/01/2017
Last updated
01/24/2025
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