Waters, Diane L

Waters, Diane L is an individual health care provider with primary practice located at College And University-2540 , Normal IL 61790-2540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Waters, Diane L can be contacted via phone (309) 438-2956.

Contact Information

Primary practice address
College And University-2540 Normal IL 61790-2540
Phone: (309) 438-2956
Fax: (309) 438-3689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Illinois

Profile Details

NPI number 1396705638
LBN Legal business name Waters, Diane L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Mar 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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