ANTAY LANE WATERS

FORT WORTH, TX
NPI1649638776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: TX  1030115)
Additional Taxonomies163WR0006X Registered Nurse Registered Nurse First Assistant
(Licence: TX  808428)
363LW0102X Nurse Practitioner Women's Health
(Licence: TX  AP130426)
Enumeration Date2016-02-03
Last Update Date2023-07-07
Business Address
ANTAY LANE WATERS DNP, APRN, CNM, WHNP
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3595
Mailing Address
ANTAY LANE WATERS DNP, APRN, CNM, WHNP
1400 GROVELAND AVE
LONGVIEW, TX 75601-3811
Phone number: 682-500-0928