Individual provider · Type 1 NPI

Ilsa Christine Waterman, AGPCNP

Nurse Practitioner · Golden, CO

NPI number 1639047053 Active

Practice location

750 Warner Dr
Golden, CO 80401-5297

Mailing address

2578 S Norse Ct
Lakewood, CO 80228-6475

Other practice locations

  • 255 S Routt St Ste 300, Lakewood, CO 80228-2354 · (303) 925-4380
  • 2578 S Norse Ct, Lakewood, CO 80228-6475 · (573) 337-4077

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN.1001312-NP (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639047053

Ilsa Christine Waterman, AGPCNP's National Provider Identifier is 1639047053, issued on Oct 27, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Golden, CO. The record was last updated on Oct 27, 2025.