Candace C Waters, MSN, FNP-BC, CDE
Nurse Practitioner, Family in Graniteville, SC. Individual provider (NPI-1).
NPI number1962496554
StatusActive
Last updated in NPPESSep 23, 2020
Details
- NPI
- 1962496554
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Candace C Waters
- Credential
- MSN, FNP-BC, CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2005
- Certification date
- Sep 23, 2020
- Last updated
- Sep 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 459 | SC | Yes |
Practice location
124 Bettis Academy RdGraniteville, SC 29829-3107
Phone 803-392-3724 · Fax 803-234-5593
Mailing address
367 S. Gulph RdAtt: Ipm Credentialing
King Of Prussia, PA 19406-3121
Phone 803-392-3724
Other practice locations
309 West Ave
North Augusta, SC 29841-3800
North Augusta, SC 29841-3800
Phone 803-279-1412 · Fax 803-279-2858
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