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Mary Elizabeth Waterhouse, AGNP-BC

Nurse Practitioner, Adult Health in Mountain View, MO. Individual provider (NPI-1).

NPI number1306294665
StatusActive
Last updated in NPPESMay 27, 2016

Details

NPI
1306294665
Entity type
Individual (NPI-1)
Name
Mary Elizabeth Waterhouse
Credential
AGNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 27, 2016
Last updated
May 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health2015040090MOYes

Practice location

210 Jackson Street
Mountain View, MO 65548

Phone 573-680-4905

Mailing address

Po Box 548
Mountain View, MO 65548

Phone 573-680-4905 · Fax 417-934-6817

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