Active NPIIndividual providerSole proprietor

Thea Waters, LPN

Licensed Practical Nurse in Atlantic City, New Jersey

NPI Number1770288953
Practice location
1101 Atlantic Ave, Atlantic City, NJ 08401-4805
Fax
—
Last updated
April 5, 2023

Thea Waters is a Licensed Practical Nurse based in Atlantic City, NJ. Thea Waters practices in Atlantic City, NJ and has the professional credentials of LPN. The NPI Number for Thea Waters is 1770288953 and holds a License No. 26NP06310100 (NJ). The current practice location address for Thea Waters is 1101 Atlantic Ave, Atlantic City, NJ 08401-4805 and can be reached out via phone at 609-344-2700.

Provider Profile Details

NPI Number
1770288953
Provider Name
Thea Waters
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1101 Atlantic Ave, Atlantic City, NJ 08401-4805
Phone Number
609-344-2700
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 5, 2023
Last Update Date
April 5, 2023
Certification Date
April 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1101 Atlantic Ave
Atlantic City, NJ 08401-4805
Zip
08401-4805
Phone Number
609-344-2700
Atlantic City, NJ 08401Get directions →

Provider Business Mailing Address Details

Address
24 Frambes Ave
Pleasantville, NJ 08232-3305
City
Pleasantville
State
NJ
Zip
08232-3305
Phone Number
609-328-8484

License Information

License Number
26NP06310100
License State
NJ
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Thea Waters, LPN?

The NPI number of Thea Waters, LPN is 1770288953. It was assigned on April 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Thea Waters, LPN?

Thea Waters, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP06310100.

Where does Thea Waters, LPN practice?

The practice location is 1101 Atlantic Ave, Atlantic City, NJ 08401-4805. The office can be reached at 609-344-2700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770288953 directly on the NPPES registry website.

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