Individual provider · Type 1 NPI

Mary Elizabeth Waterhouse, AGNP-BC

Adult Health Nurse Practitioner · Mountain View, MO

NPI number 1306294665 Active

Practice location

210 Jackson Street
Mountain View, MO 65548

Mailing address

PO Box 548
Mountain View, MO 65548

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2015040090 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1306294665

Mary Elizabeth Waterhouse, AGNP-BC's National Provider Identifier is 1306294665, issued on May 27, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Mountain View, MO. The record was last updated on May 27, 2016.