Individual
MRS. KRISTEN ELLAJANE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1675 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-9444
(719) 578-3242
Mailing address
17570 CARIBOU DR E, MONUMENT, CO 80132-7409
(719) 578-3242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
192573
CO
Other
Enumeration date
11/04/2009
Last updated
11/08/2013
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