Waters, Antay Lane
Waters, Antay Lane is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Waters, Antay Lane can be contacted via phone (817) 702-3595.Contact Information
Primary practice address
1500 S Main St
Fort Worth TX 76104-4917
Phone: (817) 702-3595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 808428 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP130426 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1030115 | Texas |
Profile Details
| NPI number | 1649638776 |
|---|---|
| LBN Legal business name | Waters, Antay Lane |
| Credentials | DNP, APRN, CNM, WHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2016 |
| Last updated | Jul 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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