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Contact Information

KATHLEEN A WATERS, APRN
204 N CEDAR ST STE 100
SUMMERVILLE, SC29483-6453
 Phone: 843-821-2480
 Fax: 843-875-3149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KATHLEEN A WATERS · (Female)

NPI # 1295028959
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 05/26/2011
Last updated 04/09/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 4447
Hospital affiliation(s) Not Available
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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