Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NP00420 | OH |
NPI | 1003939315 |
---|---|
Provider Name | Mrs. Deborah Ann Webb |
First Address | Loveland, OH 45140-2358 |
Second Address | Loveland, OH 45140-2357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 23/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3076540 | (05) | OH |