Individual provider · Type 1 NPI

Tiffany Waters, P.A.

Surgical Physician Assistant · Walnut Creek, CA

NPI number 1184652695 Active

Practice location

2405 Shadelands Dr
Walnut Creek, CA 94598-2444

Call (925) 939-8585 Map

Fax (925) 933-2709

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA17246 (CA)
Medical Physician Assistant 363AM0700XPA17246 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1184652695

Tiffany Waters, P.A.'s National Provider Identifier is 1184652695, issued on Jun 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Walnut Creek, CA. The record was last updated on Nov 7, 2013.