IndividualActive
Carmen Waterman
NPI 1083208516 · Community Health Registered Nurse · Fort Leonard Wood, MO
Provider details
- NPI number
- 1083208516
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2013021870 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
16037 Minnesota Ave
Fort Leonard Wood, MO 65473-1648
Phone: (573) 596-0491
Approximate (ZIP-level) locationGet directions
Mailing address
16905 Laurel Rd
Eldridge, MO 65463-8282
Registry dates
- Enumerated
- 2021-02-25
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.