Healthcare Provider Details

I. General information

NPI: 1871925024
Provider Name (Legal Business Name): DANIELLE D. WEBB RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3251 3RD AVE N SUITE 125
ST PETERSBURG FL
33713-8506
US

IV. Provider business mailing address

3251 3RD AVE N SUITE 125
ST PETERSBURG FL
33713-8506
US

V. Phone/Fax

Practice location:
  • Phone: 727-321-3854
  • Fax: 727-327-7670
Mailing address:
  • Phone: 727-321-3854
  • Fax: 727-327-7670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN 9338688
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: