Waterhouse, Diane L

Waterhouse, Diane L is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1971. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Waterhouse, Diane L can be contacted via phone (757) 668-9222.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1971
Fax: (757) 668-7568
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024115462 Virginia

Profile Details

NPI number 1689619488
LBN Legal business name Waterhouse, Diane L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jul 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689619488 NPPES
Virginia MEDICAID 007785828

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