Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN075496 | GA |
NPI | 1003181140 |
---|---|
Provider Name | Valerie S Webb |
First Address | Alpharetta, GA 30005-5495 |
Second Address | Atlanta, GA 30342-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2012 |
Last Update Date | 21/03/2012 |