Individual provider · Type 1 NPI

Maryrose Waters

Acute Care Nurse Practitioner · Manhasset, NY

NPI number 1336743095 Active

Practice location

300 Community Dr
Manhasset, NY 11030-3876

Mailing address

87 Tardy Ln N
Wantagh, NY 11793-1930

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XF431881-01 (NY)

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About NPI 1336743095

Maryrose Waters's National Provider Identifier is 1336743095, issued on Nov 24, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Manhasset, NY. The record was last updated on Nov 24, 2020.