Provider Demographics
NPI:1679882740
Name:WATERS, HERMINA YVONNE (MSN, APN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:HERMINA
Middle Name:YVONNE
Last Name:WATERS
Suffix:
Gender:F
Credentials:MSN, APN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8283
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-0283
Mailing Address - Country:US
Mailing Address - Phone:856-270-7308
Mailing Address - Fax:856-270-7309
Practice Address - Street 1:1017 ABINGTON RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3903
Practice Address - Country:US
Practice Address - Phone:856-270-7308
Practice Address - Fax:856-270-7309
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00301600363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health