Individual provider · Type 1 NPI

Ellen Kligerman Waters, CRNP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1144725151 Active

Practice location

3551 N Broad St
Philadelphia, PA 19140-4160

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	SP017938 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1144725151

Ellen Kligerman Waters, CRNP's National Provider Identifier is 1144725151, issued on Mar 30, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 30, 2018.