Individual provider · Type 1 NPI
Geoffrey B. Watters, NP
Psychiatric/Mental Health Nurse Practitioner · Wauwatosa, WI
NPI number
1407464118
Active
Practice location
1220 Dewey Ave
Wauwatosa, WI 53213-2504
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 10388-33 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10388-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407464118
Geoffrey B. Watters, NP's National Provider Identifier is 1407464118, issued on Jul 20, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wauwatosa, WI. The record was last updated on Oct 16, 2023.