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Individual

EMILY WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
FNP

Contact information

Practice address
50 MONTGOMERY DR, SANTA ROSA, CA 95404-6615
(707) 585-7780
Mailing address
50 MONTGOMERY DR, SANTA ROSA, CA 95404-6615

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95095193
CA
363LF0000X
Family Nurse Practitioner
Primary
95040506
CA

Other

Enumeration date
11/11/2025
Last updated
08/10/2026
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