Individual
STEPHANIE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
(715) 684-1119
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(580) 482-9020
(580) 480-3113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
103947
OK
363L00000X
Nurse Practitioner
Primary
7368
WI
Other
Enumeration date
06/25/2015
Last updated
04/21/2021
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