Waters-Decker, Patricia Anne

Waters-Decker, Patricia Anne is an individual health care provider with primary practice located at 10105 Banburry Cross Ste. 460, Las Vegas NV 89144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Waters-Decker, Patricia Anne can be contacted via phone (702) 255-3547.

Contact Information

Primary practice address
10105 Banburry Cross Ste. 460 Las Vegas NV 89144
Phone: (702) 255-3547
Fax: (702) 255-3549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN 00446 Nevada

Profile Details

NPI number 1740249804
LBN Legal business name Waters-Decker, Patricia Anne
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Feb 28th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740249804 NPPES
Nevada MEDICAID 002402048

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