Healthcare Provider Details

I. General information

NPI: 1598789919
Provider Name (Legal Business Name): DIANNE BLEVINS WEBB FNP C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DIANNE ROUSE

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 FRANCIS MARION LN
MARION VA
24354
US

IV. Provider business mailing address

201 FRANCIS MARION LN
MARION VA
24354
US

V. Phone/Fax

Practice location:
  • Phone: 276-781-7460
  • Fax: 276-781-7465
Mailing address:
  • Phone: 276-781-7460
  • Fax: 276-781-7465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024048548
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001048548
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: