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Mr. Timothy Lee Waters JR., ARNP
Gerontology Nurse Practitioner in Fort Myers, Florida
NPI 1154705051

Timothy Lee Waters JR. is a Gerontology Nurse Practitioner based in Fort Myers, FL and is specialized in Gerontology. Timothy Lee Waters JR. practices in Fort Myers, FL and has the professional credentials of ARNP. The NPI Number for Timothy Lee Waters JR. is 1154705051 and holds a License No. ARNP9325102 (Florida).

The current practice location address for Timothy Lee Waters JR. is 16420 Healthpark Commons Dr, Fort Myers, FL and can be reached out via phone at 239-985-1925 and via fax at 239-321-6044.

Location: 16420 Healthpark Commons Dr, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154705051
Provider Name
Timothy Lee Waters JR.
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
16420 Healthpark Commons Dr, Fort Myers, FL, 33902-2147
Phone Number
239-985-1925
Fax Number
239-321-6044
Provider Enumeration Date
07/10/2015
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
398643 01 FL AVMED
Y0SY4 01 FL BCBS
1254561 01 FL WELLCARE
016793000 05 FL
P1036301 01 FL FREEDOM
P973771 01 FL OPTIMUM
7061863 01 FL CIGNA
4857567 01 FL AETNA
P01652219 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
16420 Healthpark Commons Dr
City
Fort Myers
State
Florida
Zip
33908-9621
Phone Number
239-985-1925
Fax Number
239-321-6044
person
Provider Business Mailing Address Details
Address
16420 Healthpark Commons Dr
City
Fort Myers
State
Florida
Zip
33908-9621
Phone Number
239-985-1925
Fax Number
239-321-6044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN9325102 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
APRN9325102 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP 9325102 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
ARNP9325102 (Florida)
Definition
Definition to come...
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