Individual
MS. ALICIA JEAN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BSN, PMHNP-BC
Contact information
Practice address
6455 MACHINE ST FL 3, ABERDEEN PROVING GROUND, MD 21005-5213
(410) 278-1195
(419) 278-1766
Mailing address
425 GRASMERE DR, ABERDEEN, MD 21001-1834
(412) 608-2428
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP010737
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP10737
PA
Other
Enumeration date
01/02/2013
Last updated
04/24/2024
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