Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 302568 | NY |
Y | 363LA2200X | Nurse Practitioner - Adult Health | RN2268102 | MA |
NPI | 1023170537 |
---|---|
Provider Name | Dr. Judith Lorraine Webb |
First Address | Beverly, MA 01915-2228 |
Second Address | Beverly, MA 01915-2228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 23/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S83492 | (02) |