Provider Demographics
NPI:1538124409
Name:WATERS, MORNING AZULE (NP)
Entity Type:Individual
Prefix:
First Name:MORNING
Middle Name:AZULE
Last Name:WATERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5210 VALONIA ST
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3814
Mailing Address - Country:US
Mailing Address - Phone:916-965-6517
Mailing Address - Fax:916-689-8943
Practice Address - Street 1:7601 HOSPITAL DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5408
Practice Address - Country:US
Practice Address - Phone:916-689-3433
Practice Address - Fax:916-689-8943
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA308893363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health