Provider Demographics
NPI:1245109065
Name:MORRISON-WATERS, AMBER RENE'E
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:RENE'E
Last Name:MORRISON-WATERS
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 1:5000 TAKU DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2426
Mailing Address - Country:US
Mailing Address - Phone:907-290-4821
Mailing Address - Fax:
Practice Address - Street 1:5000 TAKU DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2426
Practice Address - Country:US
Practice Address - Phone:907-290-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-30
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty