Healthcare Provider Details

I. General information

NPI: 1477626489
Provider Name (Legal Business Name): BARBARA JEAN WEBER RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 S COLLEGE AVE
TEMPE AZ
85282-2252
US

IV. Provider business mailing address

7691 S BONARDEN LN
TEMPE AZ
85284-1551
US

V. Phone/Fax

Practice location:
  • Phone: 480-921-9003
  • Fax:
Mailing address:
  • Phone: 480-755-9299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN064768
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: