Waters-Larocque, Kathleen M

Waters-Larocque, Kathleen M is an individual health care provider with primary practice located at 300 Medical Pkwy Suite 300, Chesapeake VA 23320-4985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Waters-Larocque, Kathleen M can be contacted via phone (757) 548-3880.

Contact Information

Primary practice address
300 Medical Pkwy Suite 300 Chesapeake VA 23320-4985
Phone: (757) 548-3880
Fax: (757) 548-3323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024137298 Virginia

Profile Details

NPI number 1912915281
LBN Legal business name Waters-Larocque, Kathleen M
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Sep 17th, 2015 - about 9 years ago

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 1912915281 NPPES
Virginia MEDICAID 010037158

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