Healthcare Provider Details

I. General information

NPI: 1699688507
Provider Name (Legal Business Name): LINDSEY PARKER-WATERS PARKER-WATERS DNP, APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY PARKER-WATERS DI MURO DNP, APRN, AGNP-C

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 WESTVIEW RD STE 302
COLCHESTER VT
05446-8025
US

IV. Provider business mailing address

105 WESTVIEW RD STE 302
COLCHESTER VT
05446-8025
US

V. Phone/Fax

Practice location:
  • Phone: 802-655-8888
  • Fax:
Mailing address:
  • Phone: 802-655-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number101.0139872
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number101.0139872
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number101.0139872
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: