Person Information

Name:BEVERLY A WATERS

Address Information

Address(city state zipcode):PHILADELPHIA PA19138

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:PediatricNumber:VP001807D
Profession:NursingStatus:InactiveDate This Status:11/1/2015
Issue Date:5/29/1991Expires:10/31/2015Last Renewed:8/8/2013

Prerequisite Information

Licensee:WATERS, BEVERLY ARelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:002600Status:Agreement Terminated
Date of Association:Date of Expiration:

Licensee:WATERS, BEVERLY ARelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:009084Status:Expired
Date of Association:Date of Expiration:

Licensee:WATERS, BEVERLY ARelationship:Self Automatic
Type:Registered NurseNumber:RN163382LStatus:Inactive
Date of Association:Date of Expiration:

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