Provider Demographics
NPI:1871335075
Name:WATTERS, OPREA
Entity type:Individual
Prefix:
First Name:OPREA
Middle Name:
Last Name:WATTERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1182 MARKET ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4919
Mailing Address - Country:US
Mailing Address - Phone:415-915-0505
Mailing Address - Fax:415-915-0909
Practice Address - Street 1:1182 MARKET ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4919
Practice Address - Country:US
Practice Address - Phone:415-915-0505
Practice Address - Fax:415-915-0909
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker