| Doctor Name: | ANN MICHELLE WATERS |
| NPI Number: | 1326390824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 136138 |
| Business Practice Address: | 4355 Hickory Blvd Lower Suite Granite Falls, NC - 286301992 |
| Business Phone Number: | 8287575050 |
| Business Fax Number: | 8287575051 |
| Mailing Address: | 4355 Hickory Blvd, Lower Suite GRANITE FALLS |
| State: | NC |
| Postal Code: | 286301992 |
| Phone Number: | 8287575050 |
| Fax Number: | 8287575051 |
| NPI Enumeration Date: | 10/08/2012 |
| NPI Last Update Date: | 10/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 136138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |