Individual provider · Type 1 NPI
Sara Waterbury, DNP, PMHNP-BC, RN
Psychiatric/Mental Health Nurse Practitioner · Port St. Lucie, FL
NPI number
1316664956
Active
Practice location
1680 SW Bayshore Blvd Ste 107
Port St. Lucie, FL 34984-3518
Mailing address
310 Beach Ave
Port St. Lucie, FL 34952-1371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN9392585 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11022114 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1316664956
Sara Waterbury, DNP, PMHNP-BC, RN's National Provider Identifier is 1316664956, issued on Oct 25, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port St. Lucie, FL. The record was last updated on Aug 1, 2024.