NPI 1023850716
Keisha L Waters
Practice location
- Address
- 3431 Bridgeland Dr, Bridgeton, MO 63044-2647
- Phone
- (314) 914-3034
- Fax
- (314) 464-0331
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1023850716
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jun 2024
- Record last updated
- 12 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.