TERRY WATERS

ESPANOLA, NM
NPI1801316740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP-03263)
Enumeration Date2017-06-21
Last Update Date2018-08-06
Business Address
TERRY WATERS CNP
2010 INDUSTRIAL PARK RD
ESPANOLA, NM 87532
Phone number: 505-753-7395
Mailing Address
TERRY WATERS CNP
10 AVENIDA DE MOLINO
ESPANOLA, NM 87532-9865
Phone number: 505-927-7912