Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | DPM251 | RI |
Y | 222Z00000X | Podiatrist | DPM251 | RI |
NPI | 1063590941 |
---|---|
Provider Name | Dr. Nancy E Waterman |
First Address | East Greenwich, RI 02818-3500 |
Second Address | East Greenwich, RI 02818-3500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 07/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004282 | BLUE CHIP (01) | RI |
1104 | NEIGHBORHOOD HEALTH PLANS (01) | RI |
480034734 | RAILROAD (01) | |
7043-2 | BCBS (01) | RI |
9007043 | (05) | RI |