Individual
MS. KATHLEEN M WATERS-LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
300 MEDICAL PKWY, SUITE 300, CHESAPEAKE, VA 23320-4985
(757) 548-3880
(757) 548-3323
Mailing address
300 MEDICAL PKWY, SUITE 300, CHESAPEAKE, VA 23320-4985
(757) 548-3880
(757) 548-3323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024137298
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010037158
—
VA
Enumeration date
08/03/2006
Last updated
09/17/2015
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