IndividualActive
Carissa Waters, APN
NPI 1700313202 · Acute Care Clinical Nurse Specialist · Chicago, IL
Provider details
- NPI number
- 1700313202
- Entity type
- Individual
- Primary specialty
- Acute Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209015912 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Phone: (773) 296-1295
Approximate (ZIP-level) locationGet directions
Mailing address
541 W Oakdale Ave Apt 402
Chicago, IL 60657-5736
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2017-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.