National Provider Identifier Database

STACEY L WATERS, CRNP – NPI #1720408677
Acute Care


Contact Information

STACEY L WATERS, CRNP
4145 CARMICHAEL RD
MONTGOMERY, AL36106-2803
Phone: 334-273-7000
Fax:
Website:
Specialty Taxonomy Code
* Acute Care 363LA2100X

* Indicates primary specialty

NPI Profile & details for STACEY L WATERS

NPI Number 1720408677
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/18/2014
Last updated 09/30/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • AL License #: 1-092991
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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