MRS. SHIRLEY ANN WATERHOUSE


Address: 1025 W 24th St Ste 15, Yuma, AZ 85364
Phone: 9283446100

MRS. SHIRLEY ANN WATERHOUSE (NPI# 1295042950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295042950
Entity Type Individual
Full Name MRS. SHIRLEY ANN WATERHOUSE
Credential RN, ANP-C
Practice Address 1025 W 24th St Ste 15
Yuma
AZ 85364
Mailing Address 9775 Rockside Road
# 270
Valley View
OH 44125-6275
Practice Telephone 9283446100
Mailing Telephone 2166549300
Enumeration Date 2010-09-01
Last Update Date 2019-06-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
12242-NP OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ STATE MEDICAL LICENSE AP10160 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1025 W 24th St Ste 15, Yuma, AZ 85364 9283446100
2435 S Avenue A Ste C, Yuma, AZ 853647176 9287821903 9287821703

Office Location

Street Address 1025 W 24TH ST STE 15
City YUMA
State AZ
Zip Code 85364

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NPI Name Taxonomy Address Enumeration
1831655760 Rta Hospice, LLC Internal Medicine 1025 W 24th St Ste 15, Yuma, AZ 85364-8373 2019-02-15

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831197540 Judith Lynn Karg Nurse Practitioner 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240 2005-07-07
1093171456 Dawn Jannice Domenech Nurse Practitioner 2851 S Avenue B, Building 4, Yuma, AZ 85364-7726 2016-01-14
1245515808 Catherine Gates Nurse Practitioner 3970 W 24th St, Suite 214, Yuma, AZ 85364-9255 2011-10-14
1487701512 Luz Maria Wiley Nurse Practitioner 1220 W 24th St, Suite 1, Yuma, AZ 85364-8705 2007-01-04

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NPI Name Taxonomy Address Enumeration
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1942819230 Care On Pllc Nurse Practitioner 7171 S 51 Ave, Phoenix, AZ 85339-2923 2020-07-23
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1558985036 Amanda Stanford Nurse Practitioner 925 E Mc Dowell Rd, Phoenix, AZ 85006 2020-06-01
1073141529 Shannalee Senior Nurse Practitioner 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 2020-03-31
1821621996 Healthy Scottsdale, LLC Nurse Practitioner 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 2020-02-18
1710522024 Kelsey Conrad Nurse Practitioner 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 2019-11-11
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Competitor

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City YUMA
Zip Code 85364

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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