Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 1070153 | TX |
NPI | 1013661602 |
---|---|
Provider Name | Britney Webster |
First Address | Garland, TX 75043-2791 |
Second Address | Dallas, TX 75390-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2022 |
Last Update Date | 11/02/2022 |