Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK B WATERS, CRNA
ActiveMR. JACK B WATERS, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SAINT GEORGE, Utah. NPI 1407152358 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · SAINT GEORGE, UT
Registration Details
- NPI Number
- 1407152358
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2011 (15.498420271634 yrs)
- Last Updated
- Dec 20, 2021
- License
-
201160004CRNA (OR)
Practice Information
- Address
-
2365 E SEGOVIA DRSAINT GEORGE, UT, 847907487Browse UT providers · Browse ZIP 84790
- Phone
- 4357735585
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.