Individual provider · Type 1 NPI
Alicia Jean Waters, MSN, BSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Aberdeen Proving Ground, MD
NPI number
1992041453
Active
Practice location
6455 Machine St Fl 3
Aberdeen Proving Ground, MD 21005-5213
Fax (419) 278-1766
Mailing address
425 Grasmere Dr
Aberdeen, MD 21001-1834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP10737 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP010737 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1992041453
Alicia Jean Waters, MSN, BSN, PMHNP-BC's National Provider Identifier is 1992041453, issued on Jan 2, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Aberdeen Proving Ground, MD. The record was last updated on Apr 24, 2024.