Individual provider · Type 1 NPI

Willie Mae Waters

Nurse Practitioner · Easton, PA

NPI number 1770122772 Active

Practice location

1700 St Lukes Blvd Ste 200
Easton, PA 18045-5670

Fax (866) 291-6192

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XSP021320 (PA)
Adult Health Nurse Practitioner 363LA2200X26NJ01285800 (NJ)
Gerontology Nurse Practitioner 363LG0600XSP021320 (PA)
Nurse Practitioner Primary 363L00000XSP021320 (PA)

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 1770122772

Willie Mae Waters's National Provider Identifier is 1770122772, issued on Dec 23, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Easton, PA. The record was last updated on Sep 10, 2026.