Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Waters, RN, PHN

Individual provider Registered Nurse · NPI 1457226714

Kenneth Waters, RN, PHN is a Registered Nurse in Sonoma, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

347 Andrieux St
Sonoma, CA 95476-6863
Phone: (707) 935-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95040750 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95281023 (CA)

Record details

NPI number1457226714
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , PHN
Sole proprietorNo
NPI enumeratedOctober 7, 2025
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address1109 Clayton Ct, Novato, CA 94945-2308

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