GEOFFREY B WATTERS


Address: 1220 Dewey Ave, Wauwatosa, WI 53213-2504
Phone: 4144546753

GEOFFREY B WATTERS (NPI# 1407464118) 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) 1407464118
Entity Type Individual
Full Name GEOFFREY B WATTERS
Credential NP
Practice Address 1220 Dewey Ave
Wauwatosa
WI 53213-2504
Mailing Address 3301 W Forest Home Ave
Milwaukee
WI 53215-2843
Practice Telephone 4144546753
Mailing Telephone 4143892233
Enumeration Date 2020-07-20
Last Update Date 2020-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 10388-33 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
10388-33 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1220 DEWEY AVE
City WAUWATOSA
State WI
Zip Code 53213-2504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083696736 Ikar Jaksa Kalogjera Psychiatry & Neurology 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2005-11-17
1497381818 Frances Clouse Pharmacist 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2020-03-17
1851939623 Kathleen Grace Barnes Physician Assistant 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2019-12-12
1952951402 Christine D Schubring Nurse Practitioner 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2019-09-17
1043864242 Brooke E Muggenthaler Counselor 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2019-07-26
1225510001 Reuel Kagamba Muiruri Nurse Practitioner 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2018-08-29
1437638830 Lori L Unger Registered Nurse 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2018-08-07
1033697644 Christine S Schultz Social Worker 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2018-08-06
1205335957 Ivana Spaciel Nurse Practitioner 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2018-02-08
1952816589 Deva K Murphy Social Worker 1220 Dewey Ave, Wauwatosa, WI 53213-2504 2017-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932682473 Tracy A Bolton Nurse Practitioner 2626 N 76th St Ste 101, Wauwatosa, WI 53213 2018-09-11
1609309129 Anupriya Dayal Student in an Organized Health Care Education/Training Program 7700 Portland Avenue, #227, Milwaukee, WI 53213 2017-04-11
1407202666 Michael Lenz Dentist 1221 N 62nd Street, 201, Wauwatosa, WI 53213 2016-05-06
1164807889 Myia Mitchell Massage Therapist 6012 W. North Avenue, Milwaukee, WI 53213 2015-07-23
1518369420 Rachel Rakow Speech-Language Pathologist 1009 N 92nd St, Wauwatosa, WI 53213 2014-09-23
1821348335 Mary Kathryn Maxey Dietitian, Registered 1515 Mower Court, Wauwatosa, WI 53213 2012-09-12
1134478506 Andrea Brooke Moosreiner Dietitian, Registered 7220 Milwaukee Ave, Wauwatosa, WI 53213 2012-08-31
1467726075 Stephanie Miller Social Worker 2618 N 61st St, Milwaukee, WI 53213 2012-02-28
1396013447 Ng Enterprise, Inc. Home Health 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 2011-12-05
1184908162 Lisa Anne Behlmer Pharmacist 6600 W. State St, Wauwatosa, WI 53213 2011-10-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003422726 Wisconsin Healthcare Family Practices and Behavioral Services LLC Nurse Practitioner 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 2020-09-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689292856 Julianne Margaret John Nurse Practitioner 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 2020-07-13
1356968002 Marisa Hiley Nurse Practitioner W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 2020-06-29
1932726700 Lauren Marie Skemp Nurse Practitioner 1960 Hyview Rd, Cuba City, WI 53807-9718 2020-06-28
1235779240 Conscious Practice, LLC Nurse Practitioner 119 19th St N, La Crosse, WI 54601-3724 2020-01-08
1073152161 Stephanie L Ruskell Nurse Practitioner 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 2020-01-06
1558924811 Sarah Kathryn Garven Nurse Practitioner 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 2019-04-22
1104394535 Therese Ann Alm Nurse Practitioner 383 Williamstowne Ste 101, Delafield, WI 53018-2332 2018-11-03
1477079242 Aeron Rachel Adams Nurse Practitioner W10237 Lake Emily Rd, Fox Lake, WI 53933 2017-08-14
1396140398 Monica Gorski Nurse Practitioner 505 King St Ste 218, La Crosse, WI 54601-4289 2014-11-03
1518217280 Jodi L Space Nurse Practitioner 5416 Everybodys Rd, Crandon, WI 54520-8627 2012-09-10
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Competitor

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City WAUWATOSA
Zip Code 53213

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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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